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Pediatric Radiology

, Volume 16, Issue 4, pp 309–312 | Cite as

Differential diagnosis of intra- and perivesical abnormalities using bladder air/CO2 contrast sonography

  • K. Schneider
  • H. Fendel
  • M. M. Kohn
Originals

Abstract

Sonographic air/CO2 contrast studies of the urinary bladder allow identification of abnormal peri- and intravesical low-echogenic structures and can differentiate between those that communicate with the bladder (refluxing ureters, bladder diverticula, patent urachus) from others that do not communicate (cysts of ovarian/enteric origin, urachus cyst). Ureteroceles with a refluxing/obstructed ureter can be more clearly delineated using gas contrast than with plain ultrasound. In a group of 217 children examined by bladder contrast sonography, 19 showed pathological peri- and intravesical findings, 17 of which were definitely evaluated by bladder contrast sonography. On the other hand, only 10 abnormalities of these 19 could be detected, and in not more than 8 was the final diagnosis made by plain sonography alone.

Keywords

Public Health Differential Diagnosis Peri Urinary Bladder Final Diagnosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Aaronson IA, Cremin BJ (1984) Clinical paediatric uroradiology. Churchill Livingston, Edinburgh, pp 27Google Scholar
  2. 2.
    Chrispin AR, Gorden I, Hall C, Metrewelli C (1980) Vesical and urethral problems. In: Chrispin AR (ed) Diagnostic imaging of the kidney and the urinary tract in children. Springer Berlin, pp 114Google Scholar
  3. 3.
    Haller JO, Bass IS, Friedman AP (1984) Pelvic masses in girls: An 8-year retrospective analysis stressing ultrasound as the prime imaging modality. Pediatr Radiol 14: 363CrossRefPubMedGoogle Scholar
  4. 4.
    Kangarloo H, Sarti DA, Sample W (1980) Ultrasound of the pediatric pelvis. Semin Ultrasound 1: 51Google Scholar
  5. 5.
    Richman TS, Taylor JW (1982) Sonographic demonstration of bladder duplication. AJR 139: 604PubMedGoogle Scholar
  6. 6.
    Rifkin MD, Needleman L, Kurtz AB, Fornage BD, Pasto ME, Cole-Benglet C (1984) Sonography of nongynecologic cystic masses of the pelvis. AJR 142: 1169PubMedGoogle Scholar
  7. 7.
    Rose JS, McCarthy J, Yeh HD (1979) Ultrasound diagnosis of ectopic ureterocele. Pediatr Radiol 8: 17CrossRefPubMedGoogle Scholar
  8. 8.
    Sanders RC OH KS, Dorst JP (1974) B-scan ultrasound: positive and negative contrast material evaluation of congenital urachal anomaly. AJR 120: 448Google Scholar
  9. 9.
    Schneider K, Jablonski C, Wiessner M, Kohn MM, Fendel H (1984) Screening for vesicoureteral reflux in children using real-time sonography. Pediatr Radiol 14: 400CrossRefPubMedGoogle Scholar
  10. 10.
    Schneider K, Fendel H, Kohn MM. Sonographic investigation of dilated ureters in children. Ann Radiol (in press)Google Scholar

Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • K. Schneider
    • 1
  • H. Fendel
    • 1
  • M. M. Kohn
    • 1
  1. 1.Department of Pediatric RadiologyDr. von Haunersches Kinderspital, Children's Hospital, University of MunichFRG

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