» Articles » PMID: 15278717

Alternative Diagnoses to Stone Disease on Unenhanced CT to Investigate Acute Flank Pain

Overview
Journal Emerg Radiol
Date 2004 Jul 28
PMID 15278717
Citations 4
Authors
Affiliations
Soon will be listed here.
Abstract

Acute flank pain is a common problem in emergency medicine. The most frequent cause is urolithiasis, but many other entities can cause the same clinical presentation. In many institutions unenhanced computed tomography (CT) of the abdomen is used in this setting. One of the major advantages of unenhanced CT is its ability to detect other pathologies causing flank pain. In this pictorial review, we present the CT findings of pathologies other than stone disease in patients with acute flank pain.

Citing Articles

Acute Appendicitis Presenting As Left Flank Pain: A Case Report.

Badawy I, Mbaya K, Metwally H Cureus. 2024; 16(6):e62181.

PMID: 38993448 PMC: 11239144. DOI: 10.7759/cureus.62181.


Limited added utility of performing follow-up contrast-enhanced CT in patients undergoing initial non-enhanced CT for evaluation of flank pain in the emergency department.

Agarwal M, Levenson R, Siewert B, Camacho M, Raptopoulos V Emerg Radiol. 2014; 22(2):109-15.

PMID: 25082439 DOI: 10.1007/s10140-014-1259-4.


The use of a fully integrated electronic medical record to minimize cumulative lifetime radiation exposure from CT scanning to detect urinary tract calculi.

Kohler S, Chen R, Kagan A, Helvey D, Buccigrossi D Emerg Radiol. 2013; 20(3):213-8.

PMID: 23361445 DOI: 10.1007/s10140-013-1106-z.


Renal medullary carcinoma: unsuspected diagnosis at stone protocol CT.

Neville A, Hatem S Emerg Radiol. 2007; 14(4):245-7.

PMID: 17406914 DOI: 10.1007/s10140-007-0596-y.

References
1.
Rao P, Rhea J, Novelline R, McCabe C, Lawrason J, Berger D . Helical CT technique for the diagnosis of appendicitis: prospective evaluation of a focused appendix CT examination. Radiology. 1997; 202(1):139-44. DOI: 10.1148/radiology.202.1.8988203. View

2.
Heidenreich A, Desgrandschamps F, Terrier F . Modern approach of diagnosis and management of acute flank pain: review of all imaging modalities. Eur Urol. 2002; 41(4):351-62. DOI: 10.1016/s0302-2838(02)00064-7. View

3.
Messersmith W, Brown D, Barry M . The prevalence and implications of incidental findings on ED abdominal CT scans. Am J Emerg Med. 2001; 19(6):479-81. DOI: 10.1053/ajem.2001.27137. View

4.
SPENCER B, Wood B, Dretler S . Helical CT and ureteral colic. Urol Clin North Am. 2000; 27(2):231-41. DOI: 10.1016/s0094-0143(05)70253-6. View

5.
Balthazar E, Freeny P, Vansonnenberg E . Imaging and intervention in acute pancreatitis. Radiology. 1994; 193(2):297-306. DOI: 10.1148/radiology.193.2.7972730. View