Clinical study on ureteritis observed in contrast-enhanced computed tomography in the emergency department
Objective We aimed to investigate the causes and clinical and laboratory features of patients with ureteritis observed on intravenous contrast-enhanced abdominopelvic computed tomography (APCT) conducted in the emergency department (ED). Methods All APCTs conducted in the ED from November 2017 to No...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Emergency Medicine
2022-09-01
|
| Series: | Clinical and Experimental Emergency Medicine |
| Subjects: | |
| Online Access: | http://ceemjournal.org/upload/pdf/ceem-21-152.pdf |
| _version_ | 1797897137530339328 |
|---|---|
| author | Jihyuk Chung Ji Ung Na Jang Hee Lee Sang Kuk Han Pil Cho Choi Dong Hyuk Shin |
| author_facet | Jihyuk Chung Ji Ung Na Jang Hee Lee Sang Kuk Han Pil Cho Choi Dong Hyuk Shin |
| author_sort | Jihyuk Chung |
| collection | DOAJ |
| description | Objective We aimed to investigate the causes and clinical and laboratory features of patients with ureteritis observed on intravenous contrast-enhanced abdominopelvic computed tomography (APCT) conducted in the emergency department (ED). Methods All APCTs conducted in the ED from November 2017 to November 2020 were investigated for the presence of ureteritis. The incidence of ureteritis, presumed cause of ureteritis, and clinical as well as laboratory features of patients with ureteritis were retrospectively analyzed. Results Ureteritis was observed in 422 out of 7,386 patients (5.7%) who underwent APCTs. The two main reasons for undergoing APCT in the ED were abdominal pain (49%) and infection focus workup (33%). The first major cause of ureteritis was urinary tract infection (UTI) (351 of 422, 83%). Most patients (85%) were febrile, but 208 (59%) exhibited no urinary symptoms such as dysuria, increased frequency, or residual urine sense. The second major cause of ureteritis was ureteral stones (42 of 422, 10%). Thirty-two of 42 patients (76%) had simple obstructive uropathy, while 24% of patients had a combined infection along with an obstruction. Other rare causes were malignancy and the spread of adjacent inflammation. Conclusion Ureteritis was a common finding observed in 5.7% of patients who underwent APCTs at the ED, and most of them were secondary to UTIs and ureteral stones. UTIs can cause ureteritis even without typical symptoms or signs suggestive of UTI, and diagnosis without an APCT can be difficult. More liberal use of APCTs should be considered when the cause of fever is difficult to diagnose. |
| first_indexed | 2024-04-10T07:52:48Z |
| format | Article |
| id | doaj.art-285809b7634a4bb79a82b86fc276d284 |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-04-10T07:52:48Z |
| publishDate | 2022-09-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-285809b7634a4bb79a82b86fc276d2842023-02-23T07:13:44ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252022-09-019321622310.15441/ceem.21.152399Clinical study on ureteritis observed in contrast-enhanced computed tomography in the emergency departmentJihyuk Chung0Ji Ung Na1Jang Hee Lee2Sang Kuk Han3Pil Cho Choi4Dong Hyuk Shin Department of Emergency Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Emergency Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Emergency Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Emergency Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Emergency Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, KoreaObjective We aimed to investigate the causes and clinical and laboratory features of patients with ureteritis observed on intravenous contrast-enhanced abdominopelvic computed tomography (APCT) conducted in the emergency department (ED). Methods All APCTs conducted in the ED from November 2017 to November 2020 were investigated for the presence of ureteritis. The incidence of ureteritis, presumed cause of ureteritis, and clinical as well as laboratory features of patients with ureteritis were retrospectively analyzed. Results Ureteritis was observed in 422 out of 7,386 patients (5.7%) who underwent APCTs. The two main reasons for undergoing APCT in the ED were abdominal pain (49%) and infection focus workup (33%). The first major cause of ureteritis was urinary tract infection (UTI) (351 of 422, 83%). Most patients (85%) were febrile, but 208 (59%) exhibited no urinary symptoms such as dysuria, increased frequency, or residual urine sense. The second major cause of ureteritis was ureteral stones (42 of 422, 10%). Thirty-two of 42 patients (76%) had simple obstructive uropathy, while 24% of patients had a combined infection along with an obstruction. Other rare causes were malignancy and the spread of adjacent inflammation. Conclusion Ureteritis was a common finding observed in 5.7% of patients who underwent APCTs at the ED, and most of them were secondary to UTIs and ureteral stones. UTIs can cause ureteritis even without typical symptoms or signs suggestive of UTI, and diagnosis without an APCT can be difficult. More liberal use of APCTs should be considered when the cause of fever is difficult to diagnose.http://ceemjournal.org/upload/pdf/ceem-21-152.pdfureteral diseasescomputed tomographyurinary tract infectionsureteral calculi |
| spellingShingle | Jihyuk Chung Ji Ung Na Jang Hee Lee Sang Kuk Han Pil Cho Choi Dong Hyuk Shin Clinical study on ureteritis observed in contrast-enhanced computed tomography in the emergency department Clinical and Experimental Emergency Medicine ureteral diseases computed tomography urinary tract infections ureteral calculi |
| title | Clinical study on ureteritis observed in contrast-enhanced computed tomography in the emergency department |
| title_full | Clinical study on ureteritis observed in contrast-enhanced computed tomography in the emergency department |
| title_fullStr | Clinical study on ureteritis observed in contrast-enhanced computed tomography in the emergency department |
| title_full_unstemmed | Clinical study on ureteritis observed in contrast-enhanced computed tomography in the emergency department |
| title_short | Clinical study on ureteritis observed in contrast-enhanced computed tomography in the emergency department |
| title_sort | clinical study on ureteritis observed in contrast enhanced computed tomography in the emergency department |
| topic | ureteral diseases computed tomography urinary tract infections ureteral calculi |
| url | http://ceemjournal.org/upload/pdf/ceem-21-152.pdf |
| work_keys_str_mv | AT jihyukchung clinicalstudyonureteritisobservedincontrastenhancedcomputedtomographyintheemergencydepartment AT jiungna clinicalstudyonureteritisobservedincontrastenhancedcomputedtomographyintheemergencydepartment AT jangheelee clinicalstudyonureteritisobservedincontrastenhancedcomputedtomographyintheemergencydepartment AT sangkukhan clinicalstudyonureteritisobservedincontrastenhancedcomputedtomographyintheemergencydepartment AT pilchochoi clinicalstudyonureteritisobservedincontrastenhancedcomputedtomographyintheemergencydepartment AT donghyukshin clinicalstudyonureteritisobservedincontrastenhancedcomputedtomographyintheemergencydepartment |