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[Computer tomography in acute pyelonephritis].

J Triller, J Scheidegger, F Terrier

    Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
    |July 1, 1983
    PubMed
    Summary
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    Computer tomography (CT) offers superior kidney imaging for acute infections, guiding treatment decisions between medication and surgery. This advanced imaging provides detailed insights into inflammatory processes.

    Area of Science:

    • Urology
    • Radiology
    • Nephrology

    Background:

    • Acute renal infections encompass a range of serious conditions including pyelonephritis, renal abscesses, and infected cysts.
    • Accurate assessment of the extent of renal and extra-renal inflammation is crucial for effective patient management.
    • Conventional imaging techniques like urogram and sonogram may have limitations in delineating the full scope of infection.

    Purpose of the Study:

    • To evaluate the diagnostic efficacy of computer tomography (CT) in patients with acute renal infections.
    • To compare the information provided by CT with conventional methods such as urogram and sonogram.
    • To determine the impact of CT findings on therapeutic strategies for acute kidney infections.

    Main Methods:

    • Computer tomography (CT) was performed on 30 patients diagnosed with various acute renal infections.

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  • The study included conditions such as acute suppurative pyelonephritis, renal abscess, infected cyst, pyelonephrosis, calculus perforation, and retroperitoneal abscess.
  • Findings from CT were compared with those obtained from urogram and sonogram examinations.

    • Main Results:

    • Computer tomography provided more precise information regarding the extent of both renal and extra-renal inflammatory processes compared to urogram and sonogram.
    • CT imaging demonstrated superior detail in characterizing the inflammatory changes associated with acute kidney infections.
    • The detailed information from CT significantly influenced treatment choices, differentiating between medical and surgical interventions.

    Conclusions:

    • Computer tomography is a highly effective imaging modality for assessing acute renal infections, offering superior diagnostic accuracy.
    • CT findings can significantly impact clinical decision-making, guiding the selection of appropriate treatment strategies.
    • In specific cases, such as suspected acute bacterial nephritis, renal vein thrombosis, or ureteric obstruction, angiography and retrograde pyelography remain valuable adjuncts.