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Ureterolithiasis signs on unenhanced helical computed tomography: iconographic essay and literature review

The most important diagnostic sign of ureterolithiasis is the direct visualization of the stone within the ureter. However, in some patients with ureterolithiasis stone visualization may be impaired due to stone small size or low attenuation, respiratory artifacts between data acquisitions, low amount of retroperitoneal fat or recent elimination of the stone. In this context, we describe many secondary computed tomography signs of ureteral obstruction that may useful in the diagnosis of inconclusive cases, and also quantify the degree of urinary obstruction.

Computed tomography; Acute flank pain; Ureteral stone


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