Acute flank pain: comparison of non-contrast-enhanced CT and intravenous urography.
OBJECTIVE
To compare non-contrast-enhanced computed tomography (CT) and intravenous urography (IVU) in the evaluation of patients who present with acute flank pain and in whom ureteric obstruction is suspected.


METHODS
The findings at non-contrast-enhanced CT and IVU in 20 patients with acute flank pain were compared for the presence or absence of ureteric obstruction and delineation of ureteric stones.


RESULTS
Twelve of the 20 patients had non-contrast-enhanced CT and IVU findings consistent with ureteric obstruction. Of these 12 patients, five had a ureteric stone that was demonstrated on both non-contrast-enhanced CT scans and IVU radiographs, six had a stone that was depicted on non-contrast-enhanced CT scans only, and in one patient a stone could not be delineated definitively on either non-contrast-enhanced CT scans or IVU radiographs. Eight patients had findings at non-contrast-enhanced CT and IVU consistent with the absence of obstruction.


CONCLUSIONS
Non-contrast-enhanced CT is more effective than IVU in precisely identifying ureteric stones and is equally effective as IVU in the determination of the presence or absence of ureteric obstruction.
Smith
R C
RC
Department of Diagnostic Imaging, Yale University School of Medicine, New Haven, CT 06510.
Rosenfield
A T
AT
Choe
K A
KA
Essenmacher
K R
KR
Verga
M
M
Glickman
M G
MG
Lange
R C
RC
D000208:Acute Disease; D000328:Adult; D003287:Contrast Media; D005260:Female; D006801:Humans; D008297:Male; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed; D014514:Ureteral Calculi / Q000000981:diagnostic imaging*; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging*; D014567:Urography
D003287:Contrast Media