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[Echographic aspects of renal tuberculosis]
F Porpiglia1, I Morra, A Rocca
1Dipartimento di Scienze Cliniche e Biologiche dell'Università di Torino.
Summary
Ultrasonography (US) demonstrates 100% sensitivity in evaluating renal tuberculosis preoperative findings like lesions and hydronephrosis. While non-specific, US is a rapid, economical tool complementing urography for comprehensive patient assessment.
Area of Science:
- Radiology
- Nephrology
- Infectious Diseases
Background:
- Renal tuberculosis (TB) requires accurate preoperative assessment.
- Ultrasonography is a widely available imaging modality.
Purpose of the Study:
- To evaluate the utility of ultrasonography in the preoperative assessment of renal tuberculosis.
- To compare ultrasonographic findings with histologic reports.
Main Methods:
- Retrospective analysis of 22 patients undergoing nephrectomy for renal TB.
- Renal ultrasonography performed using a 3.5 MHz probe.
- Assessment of renal morphology, volume, echostructure, and hydronephrosis.
Main Results:
- Ultrasonography showed 100% sensitivity in detecting parenchymal lesions and hydronephrosis.
- Ultrasonographic findings for renal TB were non-specific, lacking pathognomonic images.
- Results were comparable to abdominal CT scans reported in the literature.
Conclusions:
- Ultrasonography is a sensitive tool for preoperative evaluation of renal tuberculosis.
- It serves as an efficient, rapid, and economical complement to urography.
- US aids in the comprehensive preoperative assessment of patients with renal TB.