13 results on '"Flank Pain diagnostic imaging"'
Search Results
2. Renal Calculus in Floating-Harbor Syndrome: A Case Report.
- Author
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Shields LBE, Peppas DS, and Rosenberg E
- Subjects
- Child, Preschool, Female, Flank Pain etiology, Hematuria, Humans, Kidney Calculi complications, Kidney Calculi diagnostic imaging, Severity of Illness Index, Treatment Outcome, Abnormalities, Multiple diet therapy, Abnormalities, Multiple physiopathology, Craniofacial Abnormalities diet therapy, Craniofacial Abnormalities physiopathology, Diet, Ketogenic, Flank Pain diagnostic imaging, Growth Disorders diet therapy, Growth Disorders physiopathology, Heart Septal Defects, Ventricular diet therapy, Heart Septal Defects, Ventricular physiopathology, Kidney Calculi pathology
- Abstract
Floating-Harbor syndrome is a rare condition marked by short stature and delayed bone age, characteristic facial features, and speech impairment. Floating-Harbor syndrome commonly results from a sporadic genetic mutation. Renal abnormalities have rarely been encountered. We report the first patient with Floating-Harbor syndrome who spontaneously passed a renal calculus consisting of calcium oxalate monohydrate and calcium oxalate dihydrate. A renal ultrasound showed echotexture within the renal pyramids, hydronephrosis, and a cyst. Pediatric nurse practitioners should be alert to the unique features associated with Floating-Harbor syndrome and be prepared to monitor and treat the renal abnormalities that may accompany this uncommon condition., (Copyright © 2018 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.)
- Published
- 2019
- Full Text
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3. Chain of migrating ureteral calculi: a cat and mouse game.
- Author
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Sinha RJ, Pandey S, Sharma D, and Singh V
- Subjects
- Flank Pain etiology, Humans, Kidney Calculi diagnostic imaging, Kidney Calculi physiopathology, Male, Middle Aged, Treatment Outcome, Ureteral Calculi diagnostic imaging, Ureteral Calculi physiopathology, Flank Pain diagnostic imaging, Kidney Calculi surgery, Nephrostomy, Percutaneous methods, Radiography, Abdominal, Ultrasonography, Interventional, Ureteral Calculi surgery
- Abstract
Competing Interests: Competing interests: None declared.
- Published
- 2018
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4. Urolithiasis secondary to primary obstructive megaureter in an adult: a case report.
- Author
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Tenkorang S, Omana JP, Mellas S, Tazi FM, El Ammari JE, Khallouk A, El Fassi MJ, and Farih MH
- Subjects
- Adult, Hematuria, Humans, Kidney Calculi diagnostic imaging, Male, Treatment Outcome, Ureteral Obstruction diagnostic imaging, Ureteral Obstruction physiopathology, Urography, Urolithiasis diagnostic imaging, Urolithiasis physiopathology, Flank Pain diagnostic imaging, Kidney Calculi surgery, Nephroureterectomy methods, Tomography, X-Ray Computed, Ureteral Obstruction surgery, Urolithiasis surgery
- Abstract
Background: Primary obstructive megaureter is relatively uncommon in adults. This condition usually regresses spontaneously or is treated during infancy. It can remain asymptomatic for decades until adulthood when symptoms may manifest in the event of complications or during a routine radiologic imaging. Primary obstructive megaureter has been reported to favor stone formation in the upper urinary tract., Case Presentation: We present the case of a 35-year-old Moroccan man who had a 10-year history of intermittent left flank pain and hematuria. A computed tomography urogram revealed a left megaureter with giant ureteral and renal calculi., Conclusions: Primary obstructive megaureter should be a differential diagnosis in an adult with hydroureteronephrosis associated with urolithiasis especially when there is kidney impairment. Through this case report we will discuss the diagnosis and management of primary obstructive megaureter associated with urolithiasis in adults.
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- 2017
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5. ACR Appropriateness Criteria for Acute Onset of Flank Pain with Suspicion of Stone Disease.
- Author
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Bredemeyer M
- Subjects
- Abdominal Pain diagnosis, Abdominal Pain diagnostic imaging, Abdominal Pain etiology, Female, Flank Pain diagnosis, Flank Pain diagnostic imaging, Humans, Kidney Calculi complications, Kidney Calculi diagnostic imaging, Magnetic Resonance Imaging, Pregnancy, Pregnancy Complications diagnosis, Pregnancy Complications diagnostic imaging, Recurrence, Tomography, X-Ray Computed, Ultrasonography, Ureteral Calculi complications, Ureteral Calculi diagnostic imaging, Flank Pain etiology, Kidney Calculi diagnosis, Ureteral Calculi diagnosis
- Published
- 2016
6. Renal Agenesis: A Bedside Sonographic Finding in a Patient with Flank Pain.
- Author
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Leifer JH, Frasure SE, Lewiss RE, and Saul T
- Subjects
- Diagnosis, Differential, Flank Pain diagnostic imaging, Humans, Kidney diagnostic imaging, Kidney Calculi surgery, Kidney Diseases diagnostic imaging, Male, Stents, Ultrasonography, Young Adult, Congenital Abnormalities diagnostic imaging, Kidney abnormalities, Kidney Calculi diagnostic imaging, Kidney Diseases congenital
- Published
- 2015
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7. Limited added utility of performing follow-up contrast-enhanced CT in patients undergoing initial non-enhanced CT for evaluation of flank pain in the emergency department.
- Author
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Agarwal MD, Levenson RB, Siewert B, Camacho MA, and Raptopoulos V
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Contrast Media, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Retrospective Studies, Emergency Service, Hospital, Flank Pain diagnostic imaging, Kidney Calculi diagnostic imaging, Tomography, X-Ray Computed methods, Urolithiasis diagnostic imaging
- Abstract
In our emergency department (ED), patients with flank pain often undergo non-enhanced computed tomography (NECT) to assess for nephroureteral (NU) stone. After immediate image review, decision is made regarding need for subsequent contrast-enhanced CT (CECT) to help assess for other causes of pain. This study aimed to review the experience of a single institution with this protocol and to assess the utility of CECT. Over a 6 month period, we performed a retrospective analysis on ED patients presenting with flank pain undergoing CT for a clinical diagnosis of nephroureterolithiasis. Patients initially underwent abdominopelvic NECT. The interpreting radiologist immediately decided whether to obtain a CECT to evaluate for another etiology of pain. Medical records, CT reports and images, and 7-day ED return were reviewed. CT diagnoses on NECT and CECT were compared. Additional information from CECT and changes in management as documented in the patient's medical record were noted. Three hundred twenty-two patients underwent NECT for obstructing NU stones during the study period. Renal or ureteral calculi were detected in 143/322 (44.4 %). One hundred fifty-four patients (47.8 %) underwent CECT. CECT added information in 17/322 cases (5.3 %) but only changed management in 6/322 patients (1.9 %). In four of these patients with final diagnosis of renal infarct, splenic infarct, pyelonephritis and early acute appendicitis in a thin patient, there was no abnormality on the NECT (4/322 patients, 1.2 %). In the remaining 2 patients, an abnormality was visible on the NECT. In patients presenting with flank pain with a clinical suspicion of nephroureterolithiasis, CECT may not be indicated. While CECT provided better delineation of an abnormality in 5.3 % of cases, changes in management after CECT occurred only in 2 %. This included 1 % of patients in whom a diagnosis of organ infarct, pyelonephritis or acute appendicitis in a thin patient could only be made on CECT.
- Published
- 2015
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8. Sonography first for acute flank pain?
- Author
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Moore CL and Scoutt L
- Subjects
- Diagnosis, Differential, Female, Humans, Ultrasonography methods, Flank Pain diagnostic imaging, Flank Pain etiology, Kidney Calculi complications, Kidney Calculi diagnostic imaging, Renal Colic diagnostic imaging, Renal Colic etiology
- Published
- 2012
- Full Text
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9. Comparative analysis and interobserver variation of unenhanced computed tomography and intravenous urography in the diagnosis of acute flank pain.
- Author
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Ben Nakhi A, Gupta R, Al-Hunayan A, Muttikkal T, Chavan V, Mohammed A, and Ali Y
- Subjects
- Adolescent, Adult, Aged, Female, Hospitals, University, Humans, Injections, Intravenous, Kidney Calculi epidemiology, Kuwait, Male, Middle Aged, Observer Variation, Prospective Studies, Reproducibility of Results, Young Adult, Flank Pain diagnostic imaging, Kidney Calculi diagnostic imaging, Tomography, X-Ray Computed standards, Urography methods, Urography standards
- Abstract
Objectives: The purpose of this study was to compare unenhanced computed tomography (UECT) to intravenous urography (IVU) for detecting urinary tract calculi, signs of obstruction and non-renal causes in the assessment of acute flank pain, and in their interobserver agreement., Patients and Methods: In this prospective study, carried out at a university hospital over a period of 1 year, 36 patients (27 males and 9 females) participated. Mean age was 44 +/- 15 years (range: 14-73 years). The patients presented with acute flank pain and underwent UECT and IVU. The images were blindly evaluated by 2 experienced radiologists and the two techniques compared using the two-tailed McNemar's test for matched pairs; p values <0.05 were considered significant., Results: UECT detected stones in 11 (30.6%) patients, while IVU found them in only 8 (22.2%). The increased detection by UECT was due to its ability to detect smaller stones (<6 mm). UECT was also found to be better than IVU in determining calculus position, in detecting primary or secondary signs of obstruction and in identifying non-urinary causes of flank pain. The overall average of agreement, as indicated by kappa values, was 0.88 for UECT and 0.61 for IVU., Conclusion: UECT showed better detectability and interobserver agreement tan IVU, suggesting that UECT could replace IVU as the first imaging modality in the evaluation of acute renal colic., (Copyright 2010 S. Karger AG, Basel.)
- Published
- 2010
- Full Text
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10. [CME ultrasound diagnosis 31. Renal colic: and the anamnesis?].
- Author
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Tuma J
- Subjects
- Adult, Diagnosis, Differential, Female, Flank Pain etiology, Humans, Ultrasonography, Flank Pain diagnostic imaging, Hydronephrosis diagnostic imaging, Kidney Calculi diagnostic imaging, Renal Colic diagnostic imaging
- Published
- 2009
- Full Text
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11. Alternate or additional findings to stone disease on unenhanced computerized tomography for acute flank pain can impact management.
- Author
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Hoppe H, Studer R, Kessler TM, Vock P, Studer UE, and Thoeny HC
- Subjects
- Acute Disease, Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Flank Pain diagnostic imaging, Flank Pain etiology, Kidney Calculi complications, Kidney Calculi diagnostic imaging, Tomography, X-Ray Computed, Ureteral Calculi complications, Ureteral Calculi diagnostic imaging
- Abstract
Purpose: We evaluated the incidence and clinical relevance of alternate or additional findings on unenhanced CT in patients with acute flank pain and suspected urinary calculi., Materials and Methods: A consecutive series of 1,500 patients underwent unenhanced CT due to acute flank pain. The absence or presence of urinary tract calculi and their localization were recorded. Alternate or additional CT findings were classified according to whether they required immediate or deferred treatment, or were of little or no clinical importance., Results: Of the 1,500 patients 1,035 (69%) had urinary tract calculi, including 309 (30%) with nephrolithiasis, 377 (36%) with ureterolithiasis and 349 (34%) with the 2 conditions. Urolithiasis alone was found in 331 of these patients (32%) and additional pathological conditions were noted in 704 (68%). Of all patients 1,064 (71%) had other or additional CT findings. Of all patients 207 (14%) had nonstone related CT findings requiring immediate or deferred treatment, 464 (31%) had pathological conditions of little clinical importance and 393 (26%) had pathological conditions of no clinical relevance. CT was normal in 105 of all patients (7%)., Conclusions: Unenhanced CT in patients with acute flank pain allows the accurate diagnosis of urinary stone disease and it can also provide further important information leading to emergency or deferred treatment in a substantial number of patients.
- Published
- 2006
- Full Text
- View/download PDF
12. Unenhanced helical computed tomography vs intravenous urography in patients with acute flank pain: accuracy and economic impact in a randomized prospective trial.
- Author
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Pfister SA, Deckart A, Laschke S, Dellas S, Otto U, Buitrago C, Roth J, Wiesner W, Bongartz G, and Gasser TC
- Subjects
- Acute Disease, Adolescent, Adult, Aged, Aged, 80 and over, Contrast Media administration & dosage, Costs and Cost Analysis, Female, Flank Pain etiology, Humans, Infusions, Intravenous, Kidney Calculi complications, Male, Middle Aged, Prospective Studies, Reproducibility of Results, Tomography, X-Ray Computed economics, Ureteral Calculi complications, Urography economics, Urography methods, Flank Pain diagnostic imaging, Kidney Calculi diagnostic imaging, Tomography, X-Ray Computed methods, Ureteral Calculi diagnostic imaging
- Abstract
Unenhanced helical computed tomography (UHCT) has evolved into a well-accepted alternative to intravenous urography (IVU) in patients with acute flank pain and suspected ureterolithiasis. The purpose of our randomized prospective study was to analyse the diagnostic accuracy of UHCT vs IVU in the normal clinical setting with special interest on economic impact, applied radiation dose and time savings in patient management. A total of 122 consecutive patients with acute flank pain suggestive of urolithiasis were randomized for UHCT ( n=59) or IVU ( n=63). Patient management (time, contrast media), costs and radiation dose were analysed. The films were independently interpreted by four radiologists, unaware of previous findings, clinical history and clinical outcome. Alternative diagnoses if present were assessed. Direct costs of UHCT and IVU are nearly identical (310/309 Euro). Indirect costs are much lower for UHCT because it saves examination time and when performed immediately initial abdominal plain film (KUB) and sonography are not necessary. Time delay between access to the emergency room and start of the imaging procedure was 32 h 7 min for UHCT and 36 h 55 min for IVU. The UHCT took an average in-room time of 23 min vs 1 h 21 min for IVU. Mild to moderate adverse reactions for contrast material were seen in 3 (5%) patients. The UHCT was safe, as no contrast material was needed. The mean applied radiation dose was 3.3 mSv for IVU and 6.5 mSv for UHCT. Alternative diagnoses were identified in 4 (7%) UHCT patients and 3 (5%) IVU patients. Sensitivity and specificity of UHCT and IVU was 94.1 and 94.2%, and 85.2 and 90.4%, respectively. In patients with suspected renal colic KUB and US may be the least expensive and most easily accessable modalities; however, if needed and available, UHCT can be considered a better alternative than IVU because it has a higher diagnostic accuracy and a better economic impact since it is more effective, faster, less expensive and less risky than IVU. In addition, it also has the capability of detecting various additional renal and extrarenal pathologies.
- Published
- 2003
- Full Text
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13. Unenhanced helical CT in the investigation of acute flank pain.
- Author
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Colistro R, Torreggiani WC, Lyburn ID, Harris AC, Al-Nakshabandi NA, Nicolaou S, and Munk PL
- Subjects
- Acute Disease, Diagnosis, Differential, Flank Pain etiology, Humans, Kidney Calculi complications, Ureteral Calculi complications, Flank Pain diagnostic imaging, Kidney Calculi diagnostic imaging, Tomography, X-Ray Computed methods, Ureteral Calculi diagnostic imaging
- Abstract
Unenhanced helical CT has emerged as the imaging technique of choice for the investigation of patients presenting with acute flank pain and suspected nephroureteric stone disease. There are several signs identifiable on unenhanced CT that support a diagnosis of stone disease. However, there are many pitfalls, that may confound a correct diagnosis. Some of the common pitfalls, together with methods to avoid such occurrences, will be discussed. A review of some of the common alternative diagnoses that may mimic the symptoms of nephroureteric stone disease is illustrated., (Copyright 2002 The Royal College of Radiologists.)
- Published
- 2002
- Full Text
- View/download PDF
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