Unenhanced Helical CT in the Investigation of Acute Flank Pain

Colistro, Robert; Torreggiani, William C.; Lyburn, Iain; Harris, Alison; Al-Nakshabandi, Nizar A.; Nicolaou, Savvas; Munk, Peter L.

doi:10.1053/crad.2001.0871

Cited by 35 publications

(15 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An ongoing clinical trial will shed more light on this very important topic. 9,[41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59] Ultrasound First (And Always? ): Central Venous Access…”

Section: Lynn a Fordham MDmentioning

confidence: 99%

2012 Ultrasound First Forum Proceedings

Minton

Abuhamad

2013

Journal of Ultrasound in Medicine

View full text Add to dashboard Cite

Section: Lynn a Fordham MDmentioning

confidence: 99%

2012 Ultrasound First Forum Proceedings

Minton

Abuhamad

2013

Journal of Ultrasound in Medicine

View full text Add to dashboard Cite

“…If the bladder remains empty during the examination, stones of the ureterovesical junction can be easily missed and sometimes large pelvic cysts may mimic a full bladder (Fig. 8) (36).…”

Section: Primary Findingsmentioning

confidence: 99%

“…Occasionally stones may be present in the inferior part of the bladder or within a urethral diverticulum in women. These stones can be missed due to incomplete coverage (36).…”

Section: Pitfallsmentioning

confidence: 99%

“…Almost 50% of patients with acute flank pain have no urinary stone on CT examinations; among them an alternative cause of flank pain is identified in nearly one third of cases (36). Some of the alternative diagnoses are congenital renal anomalies, infections (appendicitis, diverticulitis, pancreatitis, mesenteric lymphadenitis, cholecystitis, colitis, pyelonephritis), aortic aneurysm and dissection, ovarian cysts and neoplasms (renal, uterine and adnexal masses) (Figs.…”

Section: Alternative Diagnosesmentioning

confidence: 99%

See 1 more Smart Citation

MDCT technique and imaging findings of urinary stone disease: an expanded review

Türkbey

Akpınar²,

Özer³

et al. 2008

Diagn Interv Radiol

View full text Add to dashboard Cite

“…In cases where such pain is preferably localized in the flanks, the possibility of ureterolithiasis should be considered, and diagnosis, sometimes, could not be achieved only on the basis of the clinical history, physical examination and laboratory studies (1) . During approximately 70 years, intravenous pyelogram has been the imaging method of choice for the diagnosis of ureterolithiasis, but, in the last few years the unenhanced (non-contrast) helical computed tomography (CT) made on thin slices has replaced this technique (1)(2)(3)(4)(5) . Studies utilizing non-contrast helical CT started in 1995 with Smith et al (6) and have motivated later researches with similar and encouraging results (1,3,4,7-10) , this method currently being intensively utilized in the clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Definição do nível da junção ureterovesical pela tomografia computadorizada

et al. 2006

View full text Add to dashboard Cite

OBJECTIVE: To define, by means of computed tomography, the level of ureteral implantation into de bladder. MATERIALS AND METHODS: We have measured the distances from the ureteral meatus to the acetabulum, and to the superior margin of the pubic symphysis, as well as the bladder volume, using contrast enhanced computed tomography of the pelvis in 46 patients (31 male and 15 female) in the age range between 18 and 45 years, with at least one of the ureteres filled with excreted contrast material. The Student t test has been applied to determine eventual statistically significant differences between groups. RESULTS: The level of ureteral implantation into the bladder was, on average, 10.6 ± 8.1 mm below the acetabular roof, and 29.7 ± 9.5 mm above the superior margin of the pubic symphysis. In patients with bladder repletion volume of < 200 ml and ≥ ≥ ≥ ≥ ≥ 200 ml, the level of ureteral implantation into the bladder was, respectively, on average, 11.6 ± 7.3 mm and 10.2 ± 8.4 mm below the acetabular roof (p = 0.61), and 28.3 ± 7.3 mm and 30.3 ± 10.2 mm above the superior margin of the pubic symphysis (p = 0.52), and in male and female men patients, respectively, on average, 11.8 ± 8.0 mm and 8.3 ± 8.0 mm below the acetabular roof (p = 0.17), and 27.7 ± 9.2 mm and 33.9 ± 8.8 mm above the superior margin of the pubic symphysis (p = 0.34). CONCLUSION: Calcifications located < 3 cm below the acetabular roof and < 1.5 cm above the superior margin of the pubic symphysis probably do not represent ureteral calculi. Vesical repletion or sex have no significant influence on the ureteral meatus position. Keywords: Calculus; Ureter; Ureteral obstruction; Lithiasis; X-ray computed tomography.Definição do nível da junção ureterovesical pela tomografia computadorizada. OBJETIVO: Definir o nível da implantação ureteral na bexiga através da tomografia computadorizada. MA-TERIAIS E MÉTODOS: Através de tomografia computadorizada da pelve com contraste endovenoso de 46 pacientes (31 homens e 15 mulheres) com idade entre 18 e 45 anos, com pelo menos um dos ureteres contrastado pelo contraste excretado, medimos as distâncias do meato ureteral até o teto acetabular e a borda superior da sínfise púbica, além do volume da bexiga. Utilizamos o teste t de Student para avaliar se houve diferenças estatísticas entre grupos. RESULTADOS: O nível da implantação ureteral na bexiga foi, em média, 10,6 ± 8,1 mm abaixo do teto acetabular e, em média, 29,7 ± 9,5 mm acima da borda superior da sínfise púbica. Nos pacientes com volume de repleção vesical menor que 200 ml e maior ou igual a 200 ml os níveis da implantação ureteral na bexiga foram, em média, 11,6 ± 7,3 mm e 10,2 ± 8,4 mm abaixo do teto acetabular (p = 0,61) e, em média, 28,3 ± 7,3 mm e 30,3 ± 10,2 mm acima da borda superior da sínfise púbica (p = 0,52), respectivamente, e nos pacientes do sexo masculino e feminino foram, em média, 11,8 ± 8,0 mm e 8,3 ± 8,0 mm abaixo do teto acetabular (p = 0,17) e, em média, 27,7 ± 9,2 mm e 33,9 ± 8,8 mm acima da borda superior da sínfise púbica (p = 0,34),...

show abstract

Unenhanced Helical CT in the Investigation of Acute Flank Pain

Cited by 35 publications

References 20 publications

2012 Ultrasound First Forum Proceedings

2012 Ultrasound First Forum Proceedings

MDCT technique and imaging findings of urinary stone disease: an expanded review

Definição do nível da junção ureterovesical pela tomografia computadorizada

Contact Info

Product

Resources

About