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EVALUATION OF ACUTE FLANK PAIN WITH NON-CONTRAST SPIRAL CT AND ITS PREDICTIVE ROLE ON CLINICAL OUTCOME

Yıl 2000, Cilt: 13 Sayı: 4, 205 - 211, 03.12.2016

Öz

Objective: The advantages of non-contrast spiral computerized tomography (CT) were its accuracy and speed, no need for intravenously or orally administered contrast material and ability to detect extra-urinary system in the evaluation of acute flank pain. We assessed the use of spiral CT in-patients with acute flank pain and in patients with ureterolithiasis for prediction of a favorable clinical outcome.
Methods: One hundred and eighty five patients having acute flank pain were evaluated with physical examination, urinalysis and hemogram, and non-contrast spiral CT. Stone size (greatest width-mm.), its localization, perinephritic fat stranding, the degree of hydronephrosis, tissue rim sign and perinephritic fluid were assessed on spiral CT. Extracorporeal shock wave lithotripsy (ESWL), surgical approaches, ureteroscopic stone extraction and conservative treatment were performed as therapeutic alternatives in urinary tract stone disease.
Results: Urinary stone disease was determined in 173 patients (93.5%) out of 185 (mean age: 41.1 years) by non-contrast spiral CT. Stone localizations were kidney in 77 patients (59 unilateral, 18 bilateral) and ureter in 96 patients (94 unilateral, 2 bilateral). Spontaneous passage
was assumed in 79 patients with ureterolithiasis. Only 38 patients spontaneously passed ureteral stones that were less than 7.4 mm. diameters. The greatest width difference was statistically significant between passed and unpassed group [(2.0-7.4 mm; mean 4.37±1.63) vs. (4.0-10.0 mm; mean 7.35±1.81), p<0.05].
Conclusion: Spiral CT seems to be a sensitive imaging modality for the detection of urinary tract calculi, stone size and location as well as prediction of spontaneous passage in patients with acute flank pain due to urinary tract stone disease.
Key Words: Computed tomography, urinary calculi, colic, ureter

Kaynakça

  • Smith RC, Rosenfield AT, Choa RA, et al. Acute flank pain: comparison of non-contrast- enhanced CT and intravenous urography. Radiology 1995;194:789-794.
  • Smith RC, Verga M, McCarty S, Rosenfield AT. Diagnosis of acute flank pain: value of unenhanced helicial CT. AJR 1996; 166:97- 101.
  • Lanoue MZ, Nindell fIJ. The use of unenhanced helicial CT to evaluate suspected renal colic. AJR 1997,169:1579-1584.
  • Sommer TG, Jeffrey RB Jr, Rubin GD, et al. Detection of ureteral calculi in patients with suspected renal colic: value of reformatted non-contrast helicial CT. AJR 1995; 165:509- 513.
  • 1 0
  • Evaluation of acute flank pain with non-contrast spiral CT
  • Shehadi WH, Toniolo G. Adverse reactions to contrast media: a report from the Committee on safety of Contrast Media of the International Society of Radiology. Radiology 1980;137:299-302.
  • Boulay I, Holtz P, Foley WD, White B, Begun FB. Ureteral calculi: Diagnostic efficacy of helicial CT and implications for treatment of patients. AJR 1999;172:1485-1490.
  • Takahashi IT, Rawashima A, Ernst RD, et al. Ureterolithiasis: can clinical outcome be predicted with unenhanced helicial CT? Radiology 1998;208:97-102.
  • Fielding JR, Steele G, Fox LA, Heller H, Loughlin HR. Spiral computerized tomography in the evaluation of acute flank pain: a replacement for excretory urography. J Urol 1997; 157:2071 -2073.
  • Dalrymple ¡TC, Verga M, Anderson RR, et al. The value of unenhanced helicial computerized tomography in the management of acute flank pain. J Urol 1998;159:735-740.
  • Vieweg J, Teh C, Freed R, et al. Unenhanced helicial computerized tomography for the evaluation of patients with acute flank pain. J Urol 1998;160:679-684.
  • Siegel CL. "Imaging" in urological survey. J Urol 2000:163:375-378.
  • Boridy 1C, Hikolaidis P, Rawashikama A, Goldman SM, Sandler CM. Ureterolithiasis: value of the tail sign in differentiating phleboliths from ureteral calculi at nonenhanced helical CT. Radiology 1999:211:619-621.
  • Teh C, Vieweg J, Frederick G, et al. Hon- contrast helicial CT scanning for the evaluation of renal colic. J Urol 1997,157: (suppl.) Abstract 484.
  • Yılmaz S, SindeI T, Arslan G, et al. Renal colic: comparison of spiral CT, US and IVU in the detection of ureteral calculi. Eu Radiol 1998;8:212-217.
  • Mostafavi MR, Ernst RD, Saltzman B. Accurate determination of chemical composition of urinary calculi by spiral computerized tomography. J Urol 1998;159:673-675.
Yıl 2000, Cilt: 13 Sayı: 4, 205 - 211, 03.12.2016

Öz

Kaynakça

  • Smith RC, Rosenfield AT, Choa RA, et al. Acute flank pain: comparison of non-contrast- enhanced CT and intravenous urography. Radiology 1995;194:789-794.
  • Smith RC, Verga M, McCarty S, Rosenfield AT. Diagnosis of acute flank pain: value of unenhanced helicial CT. AJR 1996; 166:97- 101.
  • Lanoue MZ, Nindell fIJ. The use of unenhanced helicial CT to evaluate suspected renal colic. AJR 1997,169:1579-1584.
  • Sommer TG, Jeffrey RB Jr, Rubin GD, et al. Detection of ureteral calculi in patients with suspected renal colic: value of reformatted non-contrast helicial CT. AJR 1995; 165:509- 513.
  • 1 0
  • Evaluation of acute flank pain with non-contrast spiral CT
  • Shehadi WH, Toniolo G. Adverse reactions to contrast media: a report from the Committee on safety of Contrast Media of the International Society of Radiology. Radiology 1980;137:299-302.
  • Boulay I, Holtz P, Foley WD, White B, Begun FB. Ureteral calculi: Diagnostic efficacy of helicial CT and implications for treatment of patients. AJR 1999;172:1485-1490.
  • Takahashi IT, Rawashima A, Ernst RD, et al. Ureterolithiasis: can clinical outcome be predicted with unenhanced helicial CT? Radiology 1998;208:97-102.
  • Fielding JR, Steele G, Fox LA, Heller H, Loughlin HR. Spiral computerized tomography in the evaluation of acute flank pain: a replacement for excretory urography. J Urol 1997; 157:2071 -2073.
  • Dalrymple ¡TC, Verga M, Anderson RR, et al. The value of unenhanced helicial computerized tomography in the management of acute flank pain. J Urol 1998;159:735-740.
  • Vieweg J, Teh C, Freed R, et al. Unenhanced helicial computerized tomography for the evaluation of patients with acute flank pain. J Urol 1998;160:679-684.
  • Siegel CL. "Imaging" in urological survey. J Urol 2000:163:375-378.
  • Boridy 1C, Hikolaidis P, Rawashikama A, Goldman SM, Sandler CM. Ureterolithiasis: value of the tail sign in differentiating phleboliths from ureteral calculi at nonenhanced helical CT. Radiology 1999:211:619-621.
  • Teh C, Vieweg J, Frederick G, et al. Hon- contrast helicial CT scanning for the evaluation of renal colic. J Urol 1997,157: (suppl.) Abstract 484.
  • Yılmaz S, SindeI T, Arslan G, et al. Renal colic: comparison of spiral CT, US and IVU in the detection of ureteral calculi. Eu Radiol 1998;8:212-217.
  • Mostafavi MR, Ernst RD, Saltzman B. Accurate determination of chemical composition of urinary calculi by spiral computerized tomography. J Urol 1998;159:673-675.
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Bölüm Original Research
Yazarlar

Tibet Erdoğru Bu kişi benim

Tansel Kaplancan Bu kişi benim

Necdet Aras Bu kişi benim

Ömer Aker Bu kişi benim

Eren Eroğlu Bu kişi benim

Yayımlanma Tarihi 3 Aralık 2016
Yayımlandığı Sayı Yıl 2000 Cilt: 13 Sayı: 4

Kaynak Göster

APA Erdoğru, T., Kaplancan, T., Aras, N., Aker, Ö., vd. (2016). EVALUATION OF ACUTE FLANK PAIN WITH NON-CONTRAST SPIRAL CT AND ITS PREDICTIVE ROLE ON CLINICAL OUTCOME. Marmara Medical Journal, 13(4), 205-211.
AMA Erdoğru T, Kaplancan T, Aras N, Aker Ö, Eroğlu E. EVALUATION OF ACUTE FLANK PAIN WITH NON-CONTRAST SPIRAL CT AND ITS PREDICTIVE ROLE ON CLINICAL OUTCOME. Marmara Med J. Haziran 2016;13(4):205-211.
Chicago Erdoğru, Tibet, Tansel Kaplancan, Necdet Aras, Ömer Aker, ve Eren Eroğlu. “EVALUATION OF ACUTE FLANK PAIN WITH NON-CONTRAST SPIRAL CT AND ITS PREDICTIVE ROLE ON CLINICAL OUTCOME”. Marmara Medical Journal 13, sy. 4 (Haziran 2016): 205-11.
EndNote Erdoğru T, Kaplancan T, Aras N, Aker Ö, Eroğlu E (01 Haziran 2016) EVALUATION OF ACUTE FLANK PAIN WITH NON-CONTRAST SPIRAL CT AND ITS PREDICTIVE ROLE ON CLINICAL OUTCOME. Marmara Medical Journal 13 4 205–211.
IEEE T. Erdoğru, T. Kaplancan, N. Aras, Ö. Aker, ve E. Eroğlu, “EVALUATION OF ACUTE FLANK PAIN WITH NON-CONTRAST SPIRAL CT AND ITS PREDICTIVE ROLE ON CLINICAL OUTCOME”, Marmara Med J, c. 13, sy. 4, ss. 205–211, 2016.
ISNAD Erdoğru, Tibet vd. “EVALUATION OF ACUTE FLANK PAIN WITH NON-CONTRAST SPIRAL CT AND ITS PREDICTIVE ROLE ON CLINICAL OUTCOME”. Marmara Medical Journal 13/4 (Haziran 2016), 205-211.
JAMA Erdoğru T, Kaplancan T, Aras N, Aker Ö, Eroğlu E. EVALUATION OF ACUTE FLANK PAIN WITH NON-CONTRAST SPIRAL CT AND ITS PREDICTIVE ROLE ON CLINICAL OUTCOME. Marmara Med J. 2016;13:205–211.
MLA Erdoğru, Tibet vd. “EVALUATION OF ACUTE FLANK PAIN WITH NON-CONTRAST SPIRAL CT AND ITS PREDICTIVE ROLE ON CLINICAL OUTCOME”. Marmara Medical Journal, c. 13, sy. 4, 2016, ss. 205-11.
Vancouver Erdoğru T, Kaplancan T, Aras N, Aker Ö, Eroğlu E. EVALUATION OF ACUTE FLANK PAIN WITH NON-CONTRAST SPIRAL CT AND ITS PREDICTIVE ROLE ON CLINICAL OUTCOME. Marmara Med J. 2016;13(4):205-11.