Original Research Article
Year: 2018 | Month: June | Volume: 8 | Issue: 6 | Pages: 35-39
Role of Multi-detector Computed Tomography in Evaluation of Hematuria in Young Adults: A Prospective Study
Manik Mahajan1, Sumeet Sabharwal2, Ghanshyam Dev Gupta3, Poonam Sharma4
1Lecturer, 2Medical Officer, 3Professor and Head,
Department of Radio-Diagnosis & Imaging, Government Medical College, Jammu
4Demonstrator, Department of Pathology, Government Medical College, Jammu
Corresponding Author: Manik Mahajan
Aim/Objectives: To determine the cause of hematuria in young adults using Multi-Dectector Computed Tomography (MDCT) and to correlate the MDCT findings with cystoscopic and histopathological correlation wherever indicated.
Materials and Methods: Hundred young adults (40 years or less in age) who presented with macroscopic or microscopic hematuria were included in the study. Detailed history and findings of clinical examination were recorded. Non contrast and contrast enhanced scans were performed and MDCT findings recorded in detail. Histopathological and Cystoscopic Findings were also recorded and correlated with the MDCT findings wherever indicated.
Results: Mean age of patients in the study was 26 years; 66% were males. Of all the examined cases, cause of hematuria was seen in 76 patients (76.0%). The most common clinically significant findings were renal or ureteric calculi seen in 64 out of 76 patients (84.2%). Five cases of urinary bladder (UB) mass & 3 cases of renal mass were seen. Three cases of Pyelonephritis and/or renal abscess and a solitary case of renal papillary necrosis were also seen. Diagnostic accuracy of MDCT in evaluating renal and vesical masses was 100 %.
Conclusions: Renal and Ureteric Calculi are the commonest cause of hematuria in young adults. UB and renal malignancy account for a small percentage of cases only. Also MDCT is highly accurate modality for diagnosing and characterising renal and ureteric calculi, UB and renal malignancy and helps in surgical planning and prognostic evaluation.
Key words: Computed Tomography; Hematuria; Calculi; Mass; Abscess.