biliary colic


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Related to biliary colic: choledocholithiasis, cholangitis, renal colic

biliary colic

[′bil·ē‚er·ē ′käl·ik]
(medicine)
Severe abdominal pain caused by passage of a gallstone through the bile ducts into the duodenum.
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The majority of patients presented with biliary colic.
Such patients may present with abdominal pain that is clinically indistinguishable from the biliary colic.
The frequency of biliary colic pain decreased to 26% and 10% after 3 and 6 months of treatment with ursodiol.
She recently had been admitted to a separate hospital for biliary colic and had been treated conservatively with IV hydration, antiemetic, and analgesics.
Only 23 of 89 patients (26%) receiving ursodiol remained free of biliary colic while waiting for surgery (mean, 90 days), whereas 29 of 88 patients (33%) receiving placebo stayed colic free.
Accurate diagnosis of acute cholecystitis versus a bad case of biliary colic is not always obvious, but distinguishing between the two has important therapeutic implications.
Clinical signs of biliary colic and acute cholecystitis are similar in pregnant and nonpregnant patients: mid-upper gastric or right-upper quadrant pain in 60%-90% of cases; colic in more than 95% of acute cholecystitis cases; and nausea, vomiting, and fatty food intolerance in 30%-50% of cases.
3] Hepatobiliary and pancreatic ascariasis can cause 5 distinct clinical presentations: biliary colic, acalculous cholecystitis, acute cholangitis, acute pancreatitis, and hepatic abscess.
Biliary colic was the commonest presenting symptom, followed by acute cholecystitis and acute pancreatitis (Table 2).
Major side effects that resulted in the interruption of the treatment were uncontrolled biliary colic in 13 patients and acute pancreatitis in 2 patients.
Upper abdominal ultrasonography should be considered for patients who develop biliary colic while receiving ceftriaxone.
Indication Biliary colic Cholecystitis Gallstone pancreatitis Cholangitis Acalculous cholecystitis Other 4.