Role of Computed Tomography in Patients with Obstructive & Non-Obstructive Kidneys

2021 
Background: A common and potentially reversible cause of acute and chronic renal failure is obstruction of the urinary tract. While the clinical characteristics of obstructive nephropathy have been widely known for several years, the extensive analysis of experimental models of this condition has improved our understanding of the pathophysiology of impaired renal function. The incidence varies across Pakistan, from 7.4 per 100 000 in the north to 28 per 100 000 in the west to 200 per 100 000 in the south. Objectives: The aim of this study was to determine the function of computed tomography in patients with obstructive and non-obstructive kidney disease. Methodology: At Shalamar Hospital in Lahore, 138 patients with kidney obstruction were randomly selected with age and gender discrimination using convenient sampling. The Toshiba Aquilion 128 Slice computed axial tomography machine was used. Results: There were 43 females and 95 males among the 138 patients who came to the radiology department with Obstructive and Non-Obstructive Kidney Disease. The youngest participant was two years old, and the oldest was 84 years old. Out of 138 patients, 71 had a history of right flank pain and 77 had a history of left flank pain. There were 55 patients with left kidney hydronephrosis, 36 with right kidney hydronephrosis, 15 with both kidney hydronephrosis, and 32 with no hydronephrosis among the 138 patients.There were 20 patients with PUJ involvement out of 138 total. There were 32 patients who developed UTI out of a total of 138. A total of 138 patients were diagnosed with obstructive kidney disease, with 108 of them having obstructive kidneys and the others having non-obstructive kidney disease. Thirty-three of the patients had burning micturition. A total of 115 patients were diagnosed with kidney stones out of a total of 138. Males are more likely than females to experience obstructive kidney disease out of 138 patients, and the same is true for non-obstructive kidney disease. With obstructive and non-obstructive kidney disease, there was a low risk of UTI, according to our findings. Conclusion: Computed Tomography (MDCTU multi-detector CT urography) is widely used as a primary imaging technique for evaluation of urinary tract abnormalities and has a number of advantages for imaging the urinary tract.
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