• drip and suction (immediate nasogastric tube)
• broad spectrum antibiotics
• immediate laparotomy after resuscitation
• conservative treatment may be possible, e.g. later presentation and Gastrografin swallow indicates sealing of perforation.
Renal colic is not a true colic but a constant pain due to blood clots or a stone lodged at the pelvic-ureteric junction; ureteric colic, however, presents as severe true colicky pain due to stone movement and ureteric spasm.
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