[Pneumaturia as a sequela of asymptomatic diverticulitis]. / Pneumatúria ako dôsledok asymptomatickej divertikulitídy.

Pneumaturia is sometimes the first symptom of colovesical fistula. Colovesical fistula presents a difficult problem with complicated diagnosis and therapy. Most common are fistulas between the colon (sigmoid) and bladder, which results from sigmoiditis and diverticulitis. The paper reports the case of a 61-year-old man with diagnosis of diverticulitis and symptom of pneumaturia in duration of 3 months. The operation was successfully performed in cooperation with a surgeon and an urologist.

[Correlation of urography, ultrasonography and computer tomography with clinical findings in examinations of the kidneys and retroperitoneum. Possibilities of diagnostic errors]. / Korelácia urografie, ultrasonografie a pocítacovej tomografie s klinickým nálezom pri vysetrení obliciek a retroperitónea. Moznosti diagnostických omylov.

The authors prospectively and retrospectively mutually compared the diagnostic value of urography, ultrasonography (USG), and computer tomography (CT) in four patients, with the diagnosis misstated prior to operation. The most valuable findings were provided by CT. Mere utilization of these methods does not exclude the possibility of diagnostic misstatements. In three patients the ultimate diagnosis was assessed on the basis of operative revision and in one patient, by means of cytologic examination of the renal punctate. Owing to retrospective evaluation of examinations, diagnostically valuable symptoms which could have lead to the correct diagnosis, were distinguished. Hence, examinations must necessarily be evaluated in complex with the general clinical state. (Fig. 6, Ref. 14.).

[Ultrasonography as the primary method for examination of the kidneys and the retroperitoneum in adolescents and adults]. / Ultrasonografia ako primárna vysetrovacia metóda obliciek a retroperitonea u mladistvých a dospelých.

The authors give an account of the application of USG as the primary examination method of the kidneys and retroperitoneum based on the examination of 2330 patients aged 15-93 years. A positive USG finding was recorded in 44%. A urological case-history was recorded in 81.5% of the patients. Patients in the 6th decade were affected most frequently. Cystic changes were found in 15.1%, chronic inflammatory changes in 11.24%. Tumours of the kidneys were present in 4.3% patients. The examination was unsuccessful in 5.1%, whereby it supported in 66% the negative urological finding. Ultrasonography is recommended as the method of first choice in patients with urological symptomatology after the basic clinical and laboratory examination.