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Sonographic Evaluation of Hydronephrosis and Determination of the Main Causes among Adults

Received: 15 January 2015     Accepted: 22 January 2015     Published: 2 February 2015
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Abstract

Background: hydronephrosis is one of the most common complication of renal obstructive diseases, if left untreated, it may cause severe complications which may lead to acute and chronic renal failure. Objectives: to assess and classify hydronephrosis and determine the causes using ultrasound. Materials and methods: It is a prospective study, the study population composed of 53 female and 47 male who were suspected with renal diseases and referred to the ultrasound department for investigation. Data collection sheet was designed to include the demographic data such as age, gender, and clinical history. All the patients had been examined with ultrasound using the abdomen and renal ultrasound imaging protocol with 3.5 MHz probe. The renal system (kidneys, urinary bladder and prostate) had been scanned, longitudinal and transverse sections were performed through the kidneys and prostate. Hydronephrosis and the underline causes were measured and reported. Statistical analysis was performed using the standard Statistical Package for the Social Sciences (SPSS Inc., Chicago, IL, USA) version 16 for windows. Descriptive statistics was used to analyze the data. Results: According to sonographic appearance, hydronephrosis had been classified into mild, moderate and severe hydronephrosis. Mild hydronephrosis is most common (53%), moderate (30%), severe hydronephrosis (13%) and extreme hydronephrosis was 4%. There were various causes of hydronephrosis, ureteric stone 31%, kidney stone 23%, pregnancy 12% and benign prostatic hypertrophy 11%. Most of the study population had history of renal stones (63%) Conclusion: Ultrasound is the first line of investigation of the renal system. It is sensitive and accurate to assess and classify the hydronephrosis and determine the main causes. Metabolic disorders (gout and diabetes) were the most risk factors of renal obstructive diseases.

Published in International Journal of Medical Imaging (Volume 3, Issue 1)
DOI 10.11648/j.ijmi.20150301.11
Page(s) 1-5
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Sonographic, Evaluation, Hydronephrosis, Determination, Causes

References
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[4] Jane A. Bates. Abdominal ultrasound How, Why and When 2nd ed. London: Elsevier limited. 2004; pp. 155-70.
[5] Rose BD, Black RM. Manual of Clinical Problems in Nephrology. Boston, Mass: Little, Brown & Co.1988;337-343
[6] Lameire N, Van Biesen W, Vanholder R. Acute renal failure. Lancet. 2005; 365(9457):417-30.[Medline]
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[9] Tamm EP, Silverman PM, Shuman WP. Evaluation of the patient with flank pain and possible ureteral calculus. Radiology. 2003; 228 (2): 319-29. Available on: doi:10.1148/radiol.2282011726 - Pubmed citation.
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    Suzan Omer Abdelmaboud, Moawia Bushra Gameraddin, Tarig Ibrahim, Abdalrahim Alsayed. (2015). Sonographic Evaluation of Hydronephrosis and Determination of the Main Causes among Adults. International Journal of Medical Imaging, 3(1), 1-5. https://doi.org/10.11648/j.ijmi.20150301.11

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    ACS Style

    Suzan Omer Abdelmaboud; Moawia Bushra Gameraddin; Tarig Ibrahim; Abdalrahim Alsayed. Sonographic Evaluation of Hydronephrosis and Determination of the Main Causes among Adults. Int. J. Med. Imaging 2015, 3(1), 1-5. doi: 10.11648/j.ijmi.20150301.11

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    AMA Style

    Suzan Omer Abdelmaboud, Moawia Bushra Gameraddin, Tarig Ibrahim, Abdalrahim Alsayed. Sonographic Evaluation of Hydronephrosis and Determination of the Main Causes among Adults. Int J Med Imaging. 2015;3(1):1-5. doi: 10.11648/j.ijmi.20150301.11

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  • @article{10.11648/j.ijmi.20150301.11,
      author = {Suzan Omer Abdelmaboud and Moawia Bushra Gameraddin and Tarig Ibrahim and Abdalrahim Alsayed},
      title = {Sonographic Evaluation of Hydronephrosis and Determination of the Main Causes among Adults},
      journal = {International Journal of Medical Imaging},
      volume = {3},
      number = {1},
      pages = {1-5},
      doi = {10.11648/j.ijmi.20150301.11},
      url = {https://doi.org/10.11648/j.ijmi.20150301.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20150301.11},
      abstract = {Background: hydronephrosis is one of the most common complication of renal obstructive diseases, if left untreated, it may cause severe complications which may lead to acute and chronic renal failure. Objectives: to assess and classify hydronephrosis and determine the causes using ultrasound. Materials and methods: It is a prospective study, the study population composed of 53 female and 47 male who were suspected with renal diseases and referred to the ultrasound department for investigation. Data collection sheet was designed to include the demographic data such as age, gender, and clinical history. All the patients had been examined with ultrasound using the abdomen and renal ultrasound imaging protocol with 3.5 MHz probe. The renal system (kidneys, urinary bladder and prostate) had been scanned, longitudinal and transverse sections were performed through the kidneys and prostate. Hydronephrosis and the underline causes were measured and reported. Statistical analysis was performed using the standard Statistical Package for the Social Sciences (SPSS Inc., Chicago, IL, USA) version 16 for windows. Descriptive statistics was used to analyze the data. Results: According to sonographic appearance, hydronephrosis had been classified into mild, moderate and severe hydronephrosis. Mild hydronephrosis is most common (53%), moderate (30%), severe hydronephrosis (13%) and extreme hydronephrosis was 4%. There were various causes of hydronephrosis, ureteric stone 31%, kidney stone 23%, pregnancy 12% and benign prostatic hypertrophy 11%. Most of the study population had history of renal stones (63%) Conclusion: Ultrasound is the first line of investigation of the renal system. It is sensitive and accurate to assess and classify the hydronephrosis and determine the main causes. Metabolic disorders (gout and diabetes) were the most risk factors of renal obstructive diseases.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Sonographic Evaluation of Hydronephrosis and Determination of the Main Causes among Adults
    AU  - Suzan Omer Abdelmaboud
    AU  - Moawia Bushra Gameraddin
    AU  - Tarig Ibrahim
    AU  - Abdalrahim Alsayed
    Y1  - 2015/02/02
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ijmi.20150301.11
    DO  - 10.11648/j.ijmi.20150301.11
    T2  - International Journal of Medical Imaging
    JF  - International Journal of Medical Imaging
    JO  - International Journal of Medical Imaging
    SP  - 1
    EP  - 5
    PB  - Science Publishing Group
    SN  - 2330-832X
    UR  - https://doi.org/10.11648/j.ijmi.20150301.11
    AB  - Background: hydronephrosis is one of the most common complication of renal obstructive diseases, if left untreated, it may cause severe complications which may lead to acute and chronic renal failure. Objectives: to assess and classify hydronephrosis and determine the causes using ultrasound. Materials and methods: It is a prospective study, the study population composed of 53 female and 47 male who were suspected with renal diseases and referred to the ultrasound department for investigation. Data collection sheet was designed to include the demographic data such as age, gender, and clinical history. All the patients had been examined with ultrasound using the abdomen and renal ultrasound imaging protocol with 3.5 MHz probe. The renal system (kidneys, urinary bladder and prostate) had been scanned, longitudinal and transverse sections were performed through the kidneys and prostate. Hydronephrosis and the underline causes were measured and reported. Statistical analysis was performed using the standard Statistical Package for the Social Sciences (SPSS Inc., Chicago, IL, USA) version 16 for windows. Descriptive statistics was used to analyze the data. Results: According to sonographic appearance, hydronephrosis had been classified into mild, moderate and severe hydronephrosis. Mild hydronephrosis is most common (53%), moderate (30%), severe hydronephrosis (13%) and extreme hydronephrosis was 4%. There were various causes of hydronephrosis, ureteric stone 31%, kidney stone 23%, pregnancy 12% and benign prostatic hypertrophy 11%. Most of the study population had history of renal stones (63%) Conclusion: Ultrasound is the first line of investigation of the renal system. It is sensitive and accurate to assess and classify the hydronephrosis and determine the main causes. Metabolic disorders (gout and diabetes) were the most risk factors of renal obstructive diseases.
    VL  - 3
    IS  - 1
    ER  - 

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Author Information
  • Faculty of Radiological Sciences and Medical Imaging, Alzaiem Alazhari University, Khartoum Bahri, Sudan

  • Faculty of Radiological Sciences and Medical Imaging, Alzaiem Alazhari University, Khartoum Bahri, Sudan

  • Faculty of Radiological Sciences and Medical Imaging, Alzaiem Alazhari University, Khartoum Bahri, Sudan

  • Faculty of Radiological Sciences and Medical Imaging, Alzaiem Alazhari University, Khartoum Bahri, Sudan

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