Calva AM, Murrieta GH, Acevedo TMT, Macías RKR

Language: Spanish
References: 10
Page: 27-38
PDF size: 620. Kb.

ABSTRACT

Introduction: Hematuria can be well evaluated with Computerized Tomography combining non contrasted phase, contrasted and of excretion. Previously the Excretor Urography was the diagnosis image method of election for urinary routes valuation; nevertheless, it presents limitations, reason why complementary image diagnose methods are required.
Objective: This study proposes Urotomography to replace Excretor Urography for the diagnosis by image of the different pathological entities conditioners of hematuria, since simultaneously allows the valuation of abdominal and retroperitoneal structures of simultaneous way and considerably diminish the necessity of complementary studies.
Material and Method: 39 patients with hematuria were evaluated with Helical Tomography in simple phase, nefrographic and elimination (Urotomography). Later Multiplanar reconstructions, 3D, MIP of the excretor phase were made.
Results: Of 39 evaluated patients 37 (94.8%) presented related findings to urinary routes, two (5.2%) were normal. Of the studied group 11 patients (28%) presented additional findings not related to urinary routes.
Discussion: Urotomography was useful to diagnose 94,8% of the patients evaluated by hematuria.
Conclusion: Urotomography is a useful method in the search of entities conditioning of hematuria.

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