Evaluation of the patient with flank pain and possible ureteral calculus.
Flank pain due to urolithiasis is a common problem in patients presenting to emergency departments. Radiology plays a vital role in the work-up of these patients. Many modalities can be used, including ultrasonography, nuclear medicine, and the traditionally used techniques of intravenous urography and conventional radiography. The development of nonenhanced computed tomography (CT) (single- or multi-detector row helical) has provided a means to enable detection and characterization of urolithiasis with unprecedented sensitivity, specificity, and accuracy while yielding important information for treatment planning, including the size and location of calculi. This technique can also help detect causes for flank pain outside the genitourinary tract. However, close attention must be paid to all aspects of the CT study to prevent misdiagnoses.
Tamm
Eric P
EP
Department of Diagnostic Imaging, MD Anderson Cancer Center, 1515 Holcombe Blvd, Box 57, Houston, TX 77030, USA. etamm@di.mdacc.tmc.edu
Silverman
Paul M
PM
Shuman
William P
WP
D003952:Diagnostic Imaging / Q000639:trends; D021501:Flank Pain / Q000209:etiology*; D006801:Humans; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014545:Urinary Calculi / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging*