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Ureteral Dilatation with No Apparent Cause on Intravenous Urography: Normal or Abnormal? A Pilot Study
Joint Authors
Rathi, Vinita
Agrawal, Sachin
Bhatt, Shuchi
Sharma, Naveen
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-10-21
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
A pilot study was done in 18 adults to assess the significance of ureteral dilatation having no apparent cause seen on Intravenous Urography (IVU).
A clinicoradiological evaluation was undertaken to evaluate the cause of ureteral dilatation, including laboratory investigations and sonography of the genitourinary tract.
This was followed, if required, by CT Urography (using a modified technique).
In 9 out of 18 cases, the cause of ureteral dilatation on laboratory investigations was urinary tract infection (6) and tuberculosis (3).
In the remaining 9 cases, CTU identified the cause as extrinsic compression by a vessel (3), extrinsic vascular compression of the ureter along with ureteritis (2), extrinsic vascular impression on the right ureter and ureteritis in the left ureter (1), ureteral stricture (2), and ureteral calculus (1).
Extrinsic vascular compression and strictures did not appear to be clinically significant in our study.
Hence, ureteral dilatation without any apparent cause on intravenous urogram was found to be clinically significant in 12 out of 18 (66.6%) cases.
We conclude that ureteral dilatation with no apparent cause on IVU may indicate urinary tract tuberculosis, urinary tract infection (E.
coli), or a missed calculus.
Thus, cases with a dilated ureter on IVU, having no obvious cause, should undergo a detailed clinicoradiological evaluation and CTU should be used judiciously.
American Psychological Association (APA)
Rathi, Vinita& Agrawal, Sachin& Bhatt, Shuchi& Sharma, Naveen. 2015. Ureteral Dilatation with No Apparent Cause on Intravenous Urography: Normal or Abnormal? A Pilot Study. Advances in Urology،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1053999
Modern Language Association (MLA)
Rathi, Vinita…[et al.]. Ureteral Dilatation with No Apparent Cause on Intravenous Urography: Normal or Abnormal? A Pilot Study. Advances in Urology No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1053999
American Medical Association (AMA)
Rathi, Vinita& Agrawal, Sachin& Bhatt, Shuchi& Sharma, Naveen. Ureteral Dilatation with No Apparent Cause on Intravenous Urography: Normal or Abnormal? A Pilot Study. Advances in Urology. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1053999
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1053999