ArticleUrologia2026
The diagnostic value of computed tomography in the management of patients with acute flank pain: An observational cohort study.
Article in Urologia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionThe need for immediate CT in patients with acute flank pain is debated. We aimed to study the diagnostic value and therapeutic impact of CT in these patients. Furthermore, to identify factors associated with intervention and determine who would benefit from acute imaging. MATERIAL AND
methodsA retrospective review was performed of patients with acute flank pain admitted to the emergency department at Haukeland University Hospital between June 2023-June 2024. In total, 289 patients with 319 referrals were included in the study.
resultsA total of 142 women and 147 men, with a median age of 48 years (IQR 35-60) were registered. Acute CT was performed in 197 cases (62%), and a cause for flank pain was determined in 159 (81%). A ureteral stone was detected in 122 (62%). Acute ureteroscopy was performed in 48 (39%) of these, while 27 (22%) were drained with a JJ-stent or nephrostomy tube only. Irrespective of the cause for acute flank pain, 234 patients (73%) received conservative treatment only. Patients needing intervention had higher levels of CRP (52 vs 15 mg/L,
conclusionCT in patients with acute flank pain may be reserved for complicated cases with signs of infection, elevated CRP and creatinine levels. In uncomplicated cases, CT can safely be deferred until follow-up after 3-4 weeks.
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