Abstract
Computed tomography (CT) has been found to make a valuable contribution to the diagnosis of the etiology of ureteral obstruction when routine urography and pyelography have not been diagnostic. We believe CT can replace more invasive techniques such as antegrade pyelography and even retrograde pyelography in the evaluation of many of these cases. This presentation will summarize our experience with the use of CT to evaluate the etiology of ureteral obstruction, indicate those disease processes likely to be encountered, emphasize the limitations of the technique, and indicate the place CT has in the study of these patients.
Similar content being viewed by others
References
Bosniak MA, Megibow AJ, Ambos MA, Mitnick JS, Lefleur RS, Gordon R: Computed tomography of ureteral obstruction.AJR 138:1107–1113, 1982
Ambos MA, Bosniak MA, Megibow AJ, Raghavendra B: Ureteral involvement by metastatic disease.Urol Radiol 1:105–112, 1979
Feun LG, Drelichman A, Singhakowinta A, Vaitkevicius VK: Ureteral obstruction secondary to metastatic breast carcinoma.Cancer 44:1164–1171, 1979
McCrea L, Peale AR: Metastatic carcinoma to the ureter.Urol Cutan Rev 55:11–12, 1951
Geller SA, Lin CS: Ureteral obstruction from metastatic breast carcinoma.Arch Pathol 99:476–478, 1975
Usher SM, Brendler H, Ciavarra VA: Retroperitoneal fibrosis secondary to metastatic neoplasm.Urology 9:191–194, 1977
Cohen WM, Freed SZ, Hasson J: Metastatic cancer to the ureter: a review of the literature and case presentations.J Urol 112:188–189, 1974
Barbaric ZL, MacIntosh PK: Periureteral thin-needle aspiration biopsy.Urol Radiol 2:181–185, 1981
Alter AJ, Peterson DT, Plautz AC Jr: Non-opaque calculous demonstrated by computerized tomography.J Urol 122:699–700, 1979
McClennan BL, Fair WR: Computed tomography scanning in urology.Urol Clin North Am 6:343–374, 1979
Sagel AJ, Shapiro RF, Linke CA, Frank IN, Rabinowitz R: Diagnosis of non-opaque calculi by computed tomography.Radiology 129:447–450, 1978
Federle MP, McAninch JW, Kaiser JA, Goodman PC, Roberts J, Mall JC: Computed tomography of urinary calculi.AJR 136:255–258, 1981
Brock J, Soloway MS: Retroperitoneal fibrosis and aortic aneurysm.Urology 15:14–16, 1980
Megibow AJ, Ambos MA, Bosniak MA: Computed tomographic diagnosis of ureteral obstruction secondary to aneurysmal disease.Urol Radiol 1:211–215, 1980
Saxton HM, Allibone GW: The association of aorto-iliac aneurysms with ureteral obstruction.Urol Radiol 1:205–210, 1980
Vint VC, Usselman JA, Warmath MA, Dilley RB: Aortic perianeurysmal fibrosis: computed tomographic density enhancement and ureteral obstruction.AJR 134:577–580, 1980
Pahira JJ, Wein AJ, Barker CL, Banner MP, Arger PH, Mulhern C, Pollack H: Bilateral complete ureteral obstruction secondary to an abdominal aortic aneurysm with perianeurysmal fibrosis: diagnosis by computed tomography.J Urol 121:103–105, 1979
Sagel SS, Siegel MJ, Stanley RJ, Jest RG: Detection of retroperitoneal hemorrhage by computed tomography.AJR 129:403–407, 1977
Dalla-Palma L, Rocca-Rossetti S, Pozzi-Mucelli RS, Rizzatto G: Computed tomography in the diagnosis of retroperitoneal fibrosis.Urol Radiol 3:77–83, 1981
Fagan CJ, Larrien AJ, Amparo EG: Retroperitoneal fibrosis: ultrasound and CT features.AJR 133:239–243, 1979
Megibow AJ, Bosniak MA, Ambos MA, Redmond PE: Crohn’s disease causing hydronephrosis.J Comput Assist Tomogr 5:909–911, 1981
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Megibow, A.J., Mitnick, J.S. & Bosniak, M.A. The contribution of computed tomography to the evaluation of the obstructed ureter. Urol Radiol 4, 95–104 (1982). https://doi.org/10.1007/BF02924034
Issue Date:
DOI: https://doi.org/10.1007/BF02924034