Role of Computed Tomography in the Management of Acute Pyelonephritis
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2017, Vol 2, Issue 4
Abstract
Introduction: Acute pyelonephritis (APN) is most common urinary tract infection, accounts for high morbidity and health care cost. The aim of this present study was to evaluate the role of computed tomography (CT) in the management of acute pyelonephritis. Material and Methods: This was a prospective study carried out in Department of Radiology, MNR Medical College Hospital, from May 2015 to June 2017. This study was based on the analysis of CT images of acute pyelonephritis. Statistical analysis was done by using SPSS 20.0 software. The study was approved by institutional ethical committee. Results: A total of 250 patients clinically diagnosed with acute pyelonephritis were included in the study. About 44% had normal CT scan report and 56% patients had minor or major abnormalities. 12.4% patients had hydroureteronephrosis, 8.8% had renal abscess, and 10% had emphysematous changes. Renal edema, renal cyst, renal stone, perinephric fat was 36%, 35.2%, 30.8%, 6.8%, respectively. Only 5% patients needed percutaneous nephrostomy or drainage of an abscess. Conclusion: Management of acute pyelonephritis by using computed tomography imaging system provide better treatment outcome.
Authors and Affiliations
Pratap Kumar Bonigala, Nagababu Pyadala, Rajaneesh Borugadda
Keywords
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