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Query: UMLS:C0152169 (renal colic)
 811 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This study assessed the clinical effectiveness of unenhanced helical (spiral) computed tomography (CT) for evaluation of patients presenting with symptoms of renal colic. Two hundred patients with symptoms and signs of renal colic (flank or groin pain, hematuria) were imaged. Unenhanced CT was performed using 5-mm collimation with a pitch of 1.5 to 1.8. Image reconstruction was performed at 3-mm intervals. Exam time was approximately 5 minutes. The financial charge at the study institution was the same as for an intravenous urogram. Clinical follow-up was performed by review of available medical records and patient interviews. The sensitivity for detecting clinically relevant ureteral and bladder calculi was 0.862 (0.95 confidence interval [CI] 0.771 to 0.927), the specificity was 0.914 (0.95 CI 0.837 to 0.962), and the accuracy was 0.89 (0.95 CI 0.833 to 0.931). Helical CT is an effective technique in the evaluation of suspected acute urinary tract obstruction.
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PMID:Helical CT in the evaluation of renal colic. 1033 89

A 33-year-old female presented with acute colicky left loin-to-groin pain and microscopic haematuria, with a background of 6 months of muscle and joint pains and diplopia. A CT kidneys/ureters/bladder demonstrated fat stranding surrounding the left ureter, as it passed over the left common iliac vessels. Arterial and delayed phase imaging revealed an obstructed ureter secondary to a left common iliac artery aneurysm, later found to be mycotic. No previous descriptions of a mycotic aneurysm presenting as renal colic have been found in the literature. The diagnosis and management of infective endocarditis and mycotic aneurysm are discussed, with a review of the literature. This serves as a good example of a common presenting complaint occurring secondary to a rare and serious pathology.
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PMID:Renal colic caused by mycotic iliac artery aneurysm. 3036 53