| Autor: |
Rafiq, Nida, Rasheed, Binish, Naz, Nasreen, Alqamari, Nuaman, Naseem, Uzma, Rahim, Anila |
| Předmět: |
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| Zdroj: |
Annals of Abbasi Shaheed Hospital & Karachi Medical & Dental College; 3/31/2023, Vol. 28 Issue 1, p45-52, 8p |
| Abstrakt: |
Objective: To determine the frequency of urinary and extra-urinary pathologies and audit the missed findings on CT KUB scan. Methods: We retrospectively reviewed 250 consecutive CT KUB studies requested for suspected renal colic at the Radiology department of tertiary care hospital. A consultant radiologist reviewed the CT KUB images for calculus, non-calculus urinary pathologies, and extra urinary incidental findings recorded on the proforma. Another consultant reviewed the initial radiological report and tallied it for any discrepancies. Findings were recorded on the same proforma. Results: The mean age of patients was 38.56 ±15.22 years. The majority of patients were males as compared to females, i.e., 163 (65.2%) and 87 (34.8%) respectively. Overall positive yield for urolithiasis was 61.2%, congenital anomalies were observed in 6.2%, cyst in 2.8%, infection in 2.2%, and miscellaneous renal findings in 2.8%. Extra-urinary findings were found in 32% of cases and majority involved hepatobiliary/spleen (32.5%) followed by musculoskeletal (27.5%). Extra-urinary findings were more common in females with gynecological etiology being the second common. Discordant findings were seen in 5.2% of the cases and were mostly in the older age group (above 40years). Conclusion: Unenhanced CT KUB is an ideal investigation for diagnosing renal / ureteric calculi with added benefit of excluding alternative diagnosis of renal colic mimickers. However, it should be wisely advised by physician for considering ionizing radiation and cost of radiological investigation, particularly in our low socio-economic settings and overburdened health care system. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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