Role of non-contrast spiral computerized tomography in acute ureteric colic

• Main Authors: S Feroze, Baldev Singh, T Gojwari, S Manjeet, Bashir Athar, Hussain Hamid
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2007-01-01
• Series: Indian Journal of Urology
• Subjects: KUB; noncontrast helical computerized tomography; ureteric calculi; ultrasonography
• Online Access: http://www.indianjurol.com/article.asp?issn=0970-1591;year=2007;volume=23;issue=2;spage=119;epage=121;aulast=Feroze

Aim: To evaluate the sensitivity and specificity of noncontrast helical computerized tomography (CT) in ureteric colic with comparative evaluation of KUB and ultrasonography (USG). Setting: Tertiary care university hospital. Materials and Methods: One hundred patients aged between 20 and 75 years referred from the emergency department as acute ureteric colic were evaluated with KUB and USG followed by noncontrast helical CT. Results: Noncontrast helical CT was 91% sensitive and 98% specific in detecting urolithiasis compared to a sensitivity of 20% and 30% for KUB and USG and specificity of 94% and 98% respectively. Conclusion: Noncontrast helical CT is a very sensitive and specific investigation for evaluation of acute flank pain due to urolithiasis, besides helping in the detection of nonrenal causes of pain.