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Related Experiment Videos

Augmentation and replacement cystoplasty: sonographic findings.

B S Hertzberg1, J D Bowie, L R King

  • 1Department of Radiology, Duke University Medical Center, Durham, NC 27710.

Radiology
|December 1, 1987
PubMed
Summary
This summary is machine-generated.

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Sonograms after bladder augmentation may show bowel tissue within the bladder wall. Recognizing these common findings, such as pseudomasses, prevents misdiagnosis of urinary tract abnormalities.

Area of Science:

  • Urology
  • Radiology
  • Gastroenterology

Background:

  • Bladder augmentation and replacement procedures can lead to bowel incorporation into the bladder wall.
  • Sonographic evaluation of the urinary tract is crucial after these surgeries.
  • Unexpected sonographic findings can arise from bowel segments within the bladder.

Purpose of the Study:

  • To familiarize clinicians with common sonographic findings after bladder augmentation and replacement.
  • To prevent misinterpretation of bowel-related findings as urinary tract abnormalities.
  • To describe the sonographic appearance of incorporated bowel in the augmented bladder.

Main Methods:

  • Retrospective review of sonograms from 47 patients who underwent bladder augmentation or replacement.

Related Experiment Videos

  • Analysis of sonographic images to identify and categorize findings related to bowel incorporation.
  • Correlation of sonographic findings with surgical history.

    • Main Results:

    • Thick or irregularly shaped bladder walls were observed in 96% of patients.
    • Pseudomasses within the bladder lumen were present in 89% of patients.
    • Fine debris or linear strands were noted in 47% of patients.

    Conclusions:

    • Familiarity with sonographic findings of bowel incorporation is essential for accurate interpretation.
    • Pseudomasses are common and can be attributed to normal bowel folds, mucus, or intussusception.
    • Correct identification of these findings avoids unnecessary concern for urinary tract pathology.