ARRS 2022 Abstracts


E2087. Urinary Tract Infections in the Emergency Room - “Not So Simple”: From Basic to Interesting and Unusual Cases
  1. Andreea Teodorescu; Emergency Clinical County Hospital Cluj Napoca
  2. Claudia Moldovanu; Emergency Clinical County Hospital Cluj Napoca
  3. Stefana Barcan; Emergency Hospital Proffessor Nicolae Oblu
Urinary tract infections (UTI) are the most prevalent diseases in the world. The term ''UTI ''encompasses lower and upper tract infections and range from simple pyelonephritis or cystitis to acute life-threatening conditions, such as emphysematous pyelonephritis and pyonephrosis and development of chronic complications. Diagnosis of renal infection particularly in its chronic stage is often challenging due to the fact that there are many conditions that can mimic neoplasms. Radiologists play an important role in diagnosing complications of renal infection and can guide the necessity of surgical treatment.

Educational Goals / Teaching Points
The exhibit provides a brief presentation of different forms of UTI and illustrates CT imaging findings of various acute and chronic infections, recognizing their different complications in a case-based review format. We suggest different steps and provide useful “tips, tricks, and pitfalls,” which help to narrow the differential diagnosis The exhibit will also describe, illustrate, and discuss imaging appearances of different entities that can mimic UTI.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Imaging is not routinely indicated in uncomplicated renal infections, as clinical findings and laboratory data are generally sufficient for making a diagnosis; however, imaging is recommended in specific situations (e.g., immunocompromised patients, treatment non-responders, equivocal clinical diagnosis, congenital anomaly evaluation, transplant imaging, and for evaluating extent of disease). Potential imaging pitfalls may exist in diagnosis of renal infections, and it is necessary to understand these pitfalls to avoid misdiagnosis and possibly unnecessary therapeutic treatment.

Radiologist will learn to look for signs of possible etiology/causes, detect complications detection, and provide recommandations for proper treatment and management.