Management

• 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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