Motta RGA, Ovando AEJ

Language: Spanish
References: 17
Page: 221-229
PDF size: 344.81 Kb.

ABSTRACT

Objective: To demonstrate the usefulness of the multisided, multidetector and multiphase Computerized Tomography (CAT), in cases of unspecific abdominal pain and where the non suspected clinical presentation of the renal inflammatory affection was demonstrated by Imaging.
Material and methods: The studies of the CAT requested by the Emergency Service of the Military Central Hospital carried out to patients with unspecific painful abdominal syndrome were revised. The studies were carried out in equipment multidetector, multislice in multiple phases.
Results: We found a series of 33 patients in which renal inflammatory findings were demonstrated by CAT, even when the clinical suspicion was another pathology. Based upon the described findings, we described a pattern of bilateral affection, with hipodense cortical areas, not well defined and more evident in the excretory phase like the most common, being identified in 36% and in second in frequency to the pattern of cuneiform, cortical image, associated to peri-renal inflammatory changes that existed in 21% of the cases.
Conclusion: The multiphase multislice CAT is relevant in the evaluation of patients with acute abdominal pain that clinically are of uncertain etiology. This methodology of Imaging is an useful, quick and effective tool for the approach of unsuspected renal pathology that compromises abdominal pain.

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