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[Echography in renal colic].

M Bazzocchi1, F Stacul, C Cressa

  • 1Istituto di Radiologia, Università, Trieste.

La Radiologia Medica
|July 1, 1988
PubMed
Summary
This summary is machine-generated.

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Sonography (US) effectively diagnoses hydronephrosis and detects small renal calculi in patients with renal colic. While US is safe for initial evaluation and follow-up, intravenous pyelography (IVP) remains crucial for specific complex cases.

Area of Science:

  • Radiology
  • Urology
  • Diagnostic Imaging

Background:

  • Renal colic is a common condition requiring accurate diagnosis.
  • Sonography (US) offers a safe and accessible imaging modality.
  • The diagnostic utility of US compared to traditional methods like plain film (PF) and intravenous pyelography (IVP) needs clarification.

Purpose of the Study:

  • To evaluate the role and diagnostic accuracy of sonography (US) in patients presenting with renal colic.
  • To compare the effectiveness of US with plain abdominal film (PF) and intravenous pyelography (IVP).

Main Methods:

  • A study involving 40 patients with renal colic.
  • Utilized sonography (US), plain abdominal film (PF), and intravenous pyelography (IVP) for examination.
  • Assessed sensitivity for hydronephrosis and calculi detection.

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Main Results:

  • US demonstrated high sensitivity (92.3%) for hydronephrosis and good sensitivity (75%) for calculi detection.
  • Small calculi were accurately identified regardless of chemical composition.
  • US showed limitations in visualizing the middle ureter and detecting acute obstructions without hydronephrosis, offering limited functional information.

Conclusions:

  • Sonography (US) is a safe, easy-to-perform tool for initial renal colic evaluation, often alongside PF, and serves as an alternative to IVP.
  • US is ideal for follow-up imaging in renal colic patients.
  • IVP is recommended for cases with discordant findings, delayed calculus passage, or when surgery/lithotripsy is planned.