ESPN 51th Annual Meeting

ESPN 2018


 
Extra-renal pathologies incidentally detected on abdomino-pelvic ultrasonography that has been performed for screening of urinary tract anomalies
MERAL TORUN BAYRAM 1 BATUHAN KÜÇÜKALI 1 ALPER SOYLU 1 SALIH KAVUKCU 1

1- DOKUZ EYLÜL UNIVERSITY MEDICAL FACULTY
 
Introduction:

Ultrasonography (US) is the first line screening modality for urinary tract diseases. Radiologists claim that complete abdomino-pelvic ultrasonography (AP-US) should be performed instead of isolated urinary tract US in order not to miss important extrarenal pathologies. We investigated the extra-renal pathologies incidentally detected on AP-US that has been performed for urinary tract diseases.

Material and methods:

The files of patients who were undergone AP-US evaluation for urinary tract pathologies between January and June 2017 have been reviewed. Age, presenting symptoms, diagnosis, and urinary tract and extra-renal findings in AP-US were recorded.

Results:

229 patients (56% male) were included. Mean age at presentation was 55.9±54.9 (1-211) months. The reasons for ordering AP-US were antenatal hydronephrosis (37%), urinary tract infection (UTI) (20%), hematuria (16%), proteinuria (14%), voiding dysfunction (8%), renal failure (3%) and hypertension (2%).  The ultimate diagnoses for urinary tract disorders were congenital anomalies of the kidney and urinary tract (20%), transient urinary tract dilatation (17%), nephrolithiasis (16%), glomerular pathologies (15%), tubulointerstitial diseases (5%), voiding disorders and UTI (19%), other diseases of urinary system (7%). Extra-renal pathologies were detected in 27 (12%) patients: hepatomegaly (12), splenomegaly (5), hepatic cyst (2), ovarian cysts (3), cholelithiasis (3), umbilical hernia (1) and heterogenous pancreas (1). Three patients had already known cause for hepatomegaly (Fanconi-Bickel syndrome, thalassemia major, type 1 glycogen storage disease); 2 patients had obesity related hepatomegaly. Other patients with extra-renal findings in AP-US did not have a specific diagnosis.

Conclusions:

 Complete AP-US evaluation for urinary tract related pathologies did not catch significant extrarenal pathologies. Thus, isolated urinary tract US evaluation is adequate in these patients.