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Emergency uroradiology

Departments of Radiology and Urology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals Trust, Glossop Road, Sheffield S10 2JF, UK

• Intravenous urography (IVU) performed out of hours for suspected ureteric calculi should be closely supervised.
  
• Non-contrast helical CT is likely to supplant IVU in most cases of suspected acute ureteric calculi.
  
• Non-calculous causes of apparent ureteric colic include clot colic related to kidney and upper tract tumours and dissecting aortic aneurysms.
  
• Good quality ultrasound is essential for urological emergencies and intervention.
  
• Percutaneous nephrostomy (PCN) is a vital procedure requiring careful patient selection and appropriate out of hours facilities and expertise.
  
• PCN can often be deferred until reasonable conditions and expertise are available.
  
• Close cooperation between the radiologist and referring urologist is essential.
  

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