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Czasopismo

2004 | 63 | 2 |

Tytuł artykułu

Diagnostic difficulties in the differentiation of urine retention and developmental anomalies in the pelvicalyceal system in the ultrasound examination of children

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Ultrasound examination of the abdominal cavity is part of the baseline diagnostics of urinary tract diseases. Dilatation of the pelvicalyceal system is one of the most frequent findings. In ultrasonography of the urinary tract there are, however, some images of anatomical anomalies of the pelvicalyceal system which should not be consider as abnormal. In the study we analysed 920 ultrasound examinations of the urinary tract. Of all the ultrasound images only those with isolated dilatation of the renal pelvises and calices were selected (130 cases). Ampulla-shaped and/or external pelvises, isolated calices or both abnormalities were disclosed in 104, 46 and 20 cases, respectively. In about one-third of patients additional examinations (voiding cystography, intravenous urography, renal scyntygraphy) were performed which revealed normal anatomy of the urinary tract and disorders of urine flow in 80% and 20% of patients, respectively. In conclusion, the study implies that not all dilatation of the pelvicalyceal system structures signifies urine retention, although in the event of further doubt, there is a need for additional diagnostics.

Wydawca

-

Czasopismo

Rocznik

Tom

63

Numer

2

Opis fizyczny

p.245-247,fig.,ref.

Twórcy

  • Medical University, Spokojna 1, 20-074 Lublin, Poland

Bibliografia

  • 1. Blane CE, Dipietro MA, Zerin JM, Sedman AB, Bloom DA (1993) Renal sonography is not a reliable screening examination for vesicoureteral reflux. J Urol, 150: 752–755.
  • 2. Dacher JN, Francois A, Rypens F, Monroc M, Eurin D, Le Dosseur P (1999) Renal sinus hyperechogenicity in acute pyelonephritis: description and pathological correlation. Pediatr Radiol, 29:179–182.
  • 3. Darge K, Ghods S, Zieger B, Rohrschneider W, Troeger J (2001) Reduction in voiding cystourethrographies after the introduction of contrast enhanced sonographic reflux diagnosis. Pediatr Radiol, 31:790–795.
  • 4. Davey MS, Zerin JM, Reilly C, Ambrosius WT (1997) Mild renal pelvic dilatation is not predictive of vesicoureteral reflux in children. Pediatr Radiol, 27: 908–911.
  • 5. Evens ED, Meyer JS, Harty MP, Bellah RD (1999) Assessment of increase in renal size on post-void sonography as a predictor of vesicoureteral reflux. Pediatr Radiol, 29: 291–294.
  • 6. Gelfand MJ, Barr LL, Abunku O (2000) The initial renal ultrasound examination in children with urinary tract infection: the prevalence of dilated uropathy has decreased. Pediatr Radiol, 30: 665–670.
  • 7. Mentzel HJ, Vogt S, John U, Kaiser WA (2002) Voiding urosonography with ultrasonography contrast medium in children. Pediatr Nephrol, 17: 272–276.
  • 8. Radmayr CH, Klauser A, Pallwein L, Zurnedden D, Bartsch G, Frauscher F (2002) Contrast enhanced reflux sonography in children: A comparison to standard radiological imaging. J Urol, 167: 1428–1430.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-article-4c0352e6-993b-4ac7-9d97-f3d701aec2f2
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