Scintirenographic findings | No intervention | Intervention/ decompression | ||
---|---|---|---|---|
Emergency | Elective or delayed | |||
No obstruction | 17 | 13 | 1* | 3† |
Partial obstruction | 26 | 11‡ | 10 | 5 |
Complete obstruction | 19 | 4§ | 15 | 0 |
Stunned kidney | 18 | 14 | 3‖ | 1‡ |
Total | 80 | 42 | 29 | 9 |
↵* One patient who had intractable pain needed intervention.
↵† One patient was treated because of new colic with obstruction; 2 patients were treated to relieve stone complicating pyelonephritis.
↵‡ One patient in each category had recurrent pain 2 days later.
↵§ One of 2 HIV-positive patients on indinavir sulfate, who had nonradioopaque stones, and 2 other patients with 2- and 3-mm stones at ureteropelvic junction were relieved after vigorous hydration; 1 patient left against medical advice.
↵‖ Condition of 2 patients was incorrectly interpreted by on-call nuclear physician as complete obstruction, and 1 patient had intractable severe pain.
Positive predictive value of helical CT for obstruction was 56% (based on results of scintigraphy).