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Abstract
This study was carried out in Urology and Radiology departments Zagazig University Hospitals over a period from February 2001 till January 2004. It included one hundred patients presented with acute flank pain. The age of these patients ranged from 18-71 years with a mean age 52 year’s .
In this study we studied the role of UHCT in diagnosis and management of acute flank pain and compared it with IVP. Patients underwent complete clinical evaluation, laboratory investigation, UHCT and IVP (not for all patients). Imaging findings were compared to final data that obtained after treatment of the patients. UHCT was valuable for evaluating and managing acute flank pain. It had been proved that the application of un-enhanced helical Computerized Tomography (UHCT) for diagnosis and management of ureteral colic is altering dramatically the practice of urology and diagnostic uroradiology and has become the mainstay for diagnosis of ureteral colic in many institutions by identifying ureteral calculi directly within the course of the ureter. Once a stone is identified, its site and size are accurately assessed. Identification of stone composition by measuring CT number (attenuation value) plays an increasingly important role in planning the management; however, the CT number may be thought of as indication of the relative fragility of the stone rather than an accurate method for determining the exact chemical composition, with the main advantage of this approach being that it provides a rapid assessment at no extra cost or time consumption.