Hydronephrosis CT: Difference between revisions
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{{Hydronephrosis}} | {{Hydronephrosis}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{VKG}} | ||
==Overview== | ==Overview== | ||
[[Abdomen|Abdominal]] [[CT scan]] may be helpful in the diagnosis of [[hydronephrosis]]. Findings on [[CT scan]] suggestive of [[hydronephrosis]] include dilation of the proximal [[ureter]], identification of the site of obstruction and calyceal blunting. | [[Abdomen|Abdominal]] [[CT scan]] may be helpful in the diagnosis of [[hydronephrosis]]. Findings on [[CT scan]] suggestive of [[hydronephrosis]] include dilation of the proximal [[ureter]], identification of the site of obstruction and calyceal blunting. | ||
==CT== | ==CT== | ||
*[[Abdomen|Abdominal]] CT scan may be helpful in the diagnosis of [[hydronephrosis]]. Findings on CT scan suggestive of [[hydronephrosis]] include:<ref name="pmid9836541">{{cite journal |vauthors=Miller OF, Rineer SK, Reichard SR, Buckley RG, Donovan MS, Graham IR, Goff WB, Kane CJ |title=Prospective comparison of unenhanced spiral computed tomography and intravenous urogram in the evaluation of acute flank pain |journal=Urology |volume=52 |issue=6 |pages=982–7 |date=December 1998 |pmid=9836541 |doi= |url=}}</ref><ref name="DyerChen2004">{{cite journal|last1=Dyer|first1=Raymond B.|last2=Chen|first2=Michael Y.|last3=Zagoria|first3=Ronald J.|title=Classic Signs in Uroradiology|journal=RadioGraphics|volume=24|issue=suppl_1|year=2004|pages=S247–S280|issn=0271-5333|doi=10.1148/rg.24si045509}}</ref><ref name="pmid11090405">{{cite journal |vauthors=Abramson S, Walders N, Applegate KE, Gilkeson RC, Robbin MR |title=Impact in the emergency department of unenhanced CT on diagnostic confidence and therapeutic efficacy in patients with suspected renal colic: a prospective survey. 2000 ARRS President's Award. American Roentgen Ray Society |journal=AJR Am J Roentgenol |volume=175 |issue=6 |pages=1689–95 |date=December 2000 |pmid=11090405 |doi=10.2214/ajr.175.6.1751689 |url=}}</ref> | *[[Abdomen|Abdominal]] CT scan may be helpful in the diagnosis of [[hydronephrosis]]. Findings on CT scan suggestive of [[hydronephrosis]] include:<ref name="pmid9836541">{{cite journal |vauthors=Miller OF, Rineer SK, Reichard SR, Buckley RG, Donovan MS, Graham IR, Goff WB, Kane CJ |title=Prospective comparison of unenhanced spiral computed tomography and intravenous urogram in the evaluation of acute flank pain |journal=Urology |volume=52 |issue=6 |pages=982–7 |date=December 1998 |pmid=9836541 |doi= |url=}}</ref><ref name="DyerChen2004">{{cite journal|last1=Dyer|first1=Raymond B.|last2=Chen|first2=Michael Y.|last3=Zagoria|first3=Ronald J.|title=Classic Signs in Uroradiology|journal=RadioGraphics|volume=24|issue=suppl_1|year=2004|pages=S247–S280|issn=0271-5333|doi=10.1148/rg.24si045509}}</ref><ref name="pmid11090405">{{cite journal |vauthors=Abramson S, Walders N, Applegate KE, Gilkeson RC, Robbin MR |title=Impact in the emergency department of unenhanced CT on diagnostic confidence and therapeutic efficacy in patients with suspected renal colic: a prospective survey. 2000 ARRS President's Award. American Roentgen Ray Society |journal=AJR Am J Roentgenol |volume=175 |issue=6 |pages=1689–95 |date=December 2000 |pmid=11090405 |doi=10.2214/ajr.175.6.1751689 |url=}}</ref><ref name="pmid25557571">{{cite journal |vauthors=Samim M, Goss S, Luty S, Weinreb J, Moore C |title=Incidental findings on CT for suspected renal colic in emergency department patients: prevalence and types in 5,383 consecutive examinations |journal=J Am Coll Radiol |volume=12 |issue=1 |pages=63–9 |date=January 2015 |pmid=25557571 |doi=10.1016/j.jacr.2014.07.026 |url=}}</ref><ref name="pmid28611874">{{cite journal |vauthors=Leo MM, Langlois BK, Pare JR, Mitchell P, Linden J, Nelson KP, Amanti C, Carmody KA |title=Ultrasound vs. Computed Tomography for Severity of Hydronephrosis and Its Importance in Renal Colic |journal=West J Emerg Med |volume=18 |issue=4 |pages=559–568 |date=June 2017 |pmid=28611874 |pmc=5468059 |doi=10.5811/westjem.2017.04.33119 |url=}}</ref> | ||
**Stone size if [[hydronephrosis]] is due to kidney stones | **Stone size if [[hydronephrosis]] is due to kidney stones | ||
**[[Papillary necrosis]] | **[[Papillary necrosis]] | ||
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**Dilatation of the collecting system | **Dilatation of the collecting system | ||
**Site of obstruction | **Site of obstruction | ||
[[File:Severe-Hydronephrosis.jpg|alt=Severe-Hydronephrosis |center|thumb|Case courtesy of David Puyó, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/22160">rID: 22160</a><ref>{{Cite web|url=Case courtesy of David Puyó, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/22160">rID: 22160</a>|title=|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref>]] | |||
==References== | ==References== | ||
Latest revision as of 18:09, 2 August 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
Overview
Abdominal CT scan may be helpful in the diagnosis of hydronephrosis. Findings on CT scan suggestive of hydronephrosis include dilation of the proximal ureter, identification of the site of obstruction and calyceal blunting.
CT
- Abdominal CT scan may be helpful in the diagnosis of hydronephrosis. Findings on CT scan suggestive of hydronephrosis include:[1][2][3][4][5]
- Stone size if hydronephrosis is due to kidney stones
- Papillary necrosis
- Dilation of the proximal ureter
- Dilatation of the collecting system
- Site of obstruction
References
- ↑ Miller OF, Rineer SK, Reichard SR, Buckley RG, Donovan MS, Graham IR, Goff WB, Kane CJ (December 1998). "Prospective comparison of unenhanced spiral computed tomography and intravenous urogram in the evaluation of acute flank pain". Urology. 52 (6): 982–7. PMID 9836541.
- ↑ Dyer, Raymond B.; Chen, Michael Y.; Zagoria, Ronald J. (2004). "Classic Signs in Uroradiology". RadioGraphics. 24 (suppl_1): S247–S280. doi:10.1148/rg.24si045509. ISSN 0271-5333.
- ↑ Abramson S, Walders N, Applegate KE, Gilkeson RC, Robbin MR (December 2000). "Impact in the emergency department of unenhanced CT on diagnostic confidence and therapeutic efficacy in patients with suspected renal colic: a prospective survey. 2000 ARRS President's Award. American Roentgen Ray Society". AJR Am J Roentgenol. 175 (6): 1689–95. doi:10.2214/ajr.175.6.1751689. PMID 11090405.
- ↑ Samim M, Goss S, Luty S, Weinreb J, Moore C (January 2015). "Incidental findings on CT for suspected renal colic in emergency department patients: prevalence and types in 5,383 consecutive examinations". J Am Coll Radiol. 12 (1): 63–9. doi:10.1016/j.jacr.2014.07.026. PMID 25557571.
- ↑ Leo MM, Langlois BK, Pare JR, Mitchell P, Linden J, Nelson KP, Amanti C, Carmody KA (June 2017). "Ultrasound vs. Computed Tomography for Severity of Hydronephrosis and Its Importance in Renal Colic". West J Emerg Med. 18 (4): 559–568. doi:10.5811/westjem.2017.04.33119. PMC 5468059. PMID 28611874.
- ↑ [Case courtesy of David Puyó, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/22160">rID: 22160</a> Case courtesy of David Puyó, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/22160">rID: 22160</a>] Check
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