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ULTRASONOGRAPHY IN ACUTE RENAL COLIC

Other Title
신성 복증의 응급 초음파 검사
Authors
김, 행재; 김, 원; 정, 윤석
Citation
Taehan Ŭnggup Ŭihakhoe chi, 9(3):407-414, 1998
Journal Title
Taehan Ŭnggup Ŭihakhoe chi; Journal of the Korean Society of Emergency Medicine; 대한응급의학회지
ISSN
1226-4334
Abstract
Background : Intravenous urography(IVU) has long been accepted as the primary

radiologic study for the diagnosis of renal colic. But the IVU does pose disks of

contrast material reactions and exposure to radiation. Recently, IVU has been challenged

as a first line modality and ultrasonography proposed as a replacement. We, therefore,

felt obliged to re-evaluate the IVU, KUB and ultrasonography as diagnostic tools.

Methods : We evaluate the sensitivity and specificity of ultrasound, IVU and KUB in

detecting urinary calculi in suspected acute renal colic, a prospective study of 69

patients, both sides of kidney and ureter, who visited urban university hospital

emergency center from September 1997 to January 1998. Our sonographic criteria far a

positive examination consisted of visualization of urinary tract calculus and/or hydronephrosis and/or urinoma.

Results : In Ultrasonography, the accuracy, sensitivity and specificity were 94, 94 and

94%. In IVU and KUB, they were 90, 81, 98% and 71, 43, 96%

Conclusion : Ultrasonography is very useful diagnostic tool in initial evaluation of

acute renal colic.
Keywords
UltrasonosaphyRenal colicHydronephrosisIntravenous urography
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Emergency Medicine
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