medicina59巻8号

2022年07月発行

特集 日常診療に潜む臨床検査のピットフォールを回避せよ 各論 ＜尿検査＞

Case 1．尿潜血陽性だから尿管結石？

著者： 坂本壮¹

所属機関： ¹総合病院国保旭中央病院救急救命科

ページ範囲：P.1218 - P.1221

症例
62歳男性
主　訴　右側腹部痛

参考文献

1）Yasui T, et al：Prevalence and epidemiological characteristics of urolithiasis in Japan；National trends between 1965 and 2005. Urology 71：209-213, 2008

2）Luchs JS, et al：Utility of hematuria testing in patients with suspected renal colic；Correlation with unenhanced helical CT results. Urology 59：839-842, 2002

3）Minotti B, et al：Prevalence of microhematuria in renal colic and urolithiasis；A systematic review and meta-analysis. BMC Urol 20：119, 2020

4）Moore CL, et al：Derivation and validation of a clinical prediction rule for uncomplicated ureteral stone--the STONE score；Retrospective and prospective observational cohort studies. BMJ 348：g2191, 2014

5）Fukuhara H, et al：Internal validation of a scoring system to evaluate the probability of ureteral stones：The CHOKAI score. Am J Emerg Med 35：1859-1866, 2017

6）Eraybar S, Yuksel M：The prospective evaluation of the effectiveness of scoring systems in the emergency department in cases with suspected ureteral stones；STONE? CHOKAI? Am J Emerg Med 49：94-99, 2021

7）Fukuhara H, et al：External validation of the CHOKAI score for the prediction of ureteral stones；A multicenter prospective observational study. Am J Emerg Med 38：920-924, 2020

8）Misdiagnosis of ruptured abdominal aortic aneurysm；Systematic review and meta-analysis. J Endovasc Ther 21：568-575, 2014