[Diagnostic reliability of echography in ureteral lithiasis].
This article takes into account the diagnostic reliability of ultrasounds (US) in the ureteral lithiasis localisation. A stone has been ultrasonographically localised in 82.3% of 119 patients, this rate rising up to 89.4% in the last 85 consecutive patients. From a clinical point of view, 104 patients presented renal signs, whereas 10 out of them showed an atypical symptomatology, which at first led to a suspicion of acute appendicitis (5), intestinal obstruction (4), acute pancreatitis (1). A stone was accidentally detected in five asymptomatic patients. In 80% of the cases, the stone was situated in the proximal or juxtavesical ureter; in 20%, in the middle or distal ureter. A particular stress is laid in the ultrasonographic follow-up, by which the stone was uncovered in 6 cases, at first considered negative at US. Eight patients had to be referred to treatment with ESWL.
Bianchini
M
M
Divisione di Chirurgia Generale, Ospedale S. Francesco, Barga, Lucca.
Cascini
F
F
Rossi
M
M
Finucci
G
G
Pieroni
P
P
Cristofani
E
E
D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000209:etiology; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D004066:Digestive System Diseases / Q000175:diagnosis; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012008:Recurrence; D012189:Retrospective Studies; D014463:Ultrasonography; D014514:Ureteral Calculi / Q000150:complications / Q000000981:diagnostic imaging*
Attendibilità diagnostica dell'ecografia nella litiasi ureterale.