Martínez RM, Ayala GF, Cuevas GJE, Cruz AA

Language: Spanish
References: 10
Page: 183-193
PDF size: 289.60 Kb.

ABSTRACT

Introduction: Hematuria can be well evaluated with Computed Tomography combining non contrasted phase, contrasted and of excretion phase.
Previously, excretory urography was the diagnostic imaging method of choice for the urinary evaluation. However, it has limitations, so that diagnostic complementary imaging methods are required.
Objective: This study suggests that Urotomography substitutes for the imaging diagnosis of different pathological entities miscontributing factors of hematuria to the Excretory Urography, since simultaneously it allows at the same time the evaluation of abdominal and retroperitoneal structures and decreases the need of complementary studies considerably.
Material and method: 39 patients with hematuria were evaluated with Helicoid Tomography of simple phase nephrographic and elimination (Urotomography). At a later time, Multiplanar, 3D, excretory phase MIP reconstructions were performed.
Results: Of the 39 evaluated patients, only 35 patients, this is, 89.6% showed findings related with urinary tract, two (5.12%) were normal. Of the study group 11 patients (28.16%) presented additional findings not related with urinary tract.
Discussion: Urotomography was useful for diagnosing 89.6% of the patients evaluated by hematuria.
Conclusion: Urotomography is a useful method in the search of hematuria-conditioning factors

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