Sonography of vesical and perivesical abnormalities in children

Area of Science:

• Pediatric Radiology
• Diagnostic Imaging
• Urology

Background:

• Pelvic abnormalities in children require accurate diagnosis.
• Ultrasonography is a common imaging modality for pediatric pelvic conditions.

Purpose of the Study:

• To review pelvic sonograms in children with bladder and perivesical region abnormalities.
• To categorize detected lesions and identify mimics of these anomalies.

Main Methods:

• Retrospective review of pelvic sonograms from 40 children.
• Categorization of lesions into intramural, intravesical, and perivesical groups.
• Analysis of conditions mimicking bladder and perivesical anomalies.

Main Results:

• Ectopic ureteroceles were effectively identified using real-time ultrasonography.
• Aperistaltic loops of bowel were observed to mimic perivesical cysts.
• Mimicking conditions were encountered across all lesion categories.

Conclusions:

• Ultrasonography is valuable for diagnosing pediatric bladder and perivesical abnormalities.
• Differentiating true anomalies from mimics like bowel loops is crucial for accurate diagnosis.
• Real-time imaging aids in specific diagnoses such as ectopic ureteroceles.