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Showing posts with label USG Urinary Bladder. Show all posts
Showing posts with label USG Urinary Bladder. Show all posts

Case 90: Acute Nephropathy with Urinary Bladder Debris || Ultrasound

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Clinical Features:

A 12-year-old female patient came with fever, burning micturition & left back pain.


Ultrasound Features:

  • Swollen & echogenic left kidney with accentuation of corticomedullary differentiation.
  • Urinary bladder debris.
  • Mild hepatomegaly.


Ultrasound Diagnosis:

  • Left-sided acute nephropathy, possibly pyelonephritis. Urine RME can easily exclude glomerulonephritis.
  • Urinary bladder debris.
  • Mild hepatomegaly.


Ultrasound Images:



Mild hepatomegaly


Right kidney & gallbladder


Swollen & echogenic left kidney




Urinary bladder lumen filled with debris


Renal parenchyma on Doppler


Swollen & echogenic left kidney with accentuation of corticomedullary differentiation.


Hazy pyramids on high-frequency ultrasound


Urinary bladder debris on high-frequency ultrasound





Case 81: Bilateral Ureteric Calculi Causing Obstructive Uropathy

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Ultrasound Features:

- Bilaterally enlarged kidneys with echogenic parenchyma & moderate pelvicalyceal system dilatation.

- An echogenic structure casting acoustic shadow on grayscale & twinkling artifact on color Doppler, is noted at the right distal ureteric lumen causing proximal dilatation.

- Another echogenic structure casting acoustic shadow on grayscale & twinkling artifact on color Doppler, is noted at the left mid ureteric lumen causing proximal dilatation.


Ultrasound Diagnosis:

Bilateral obstructive uropathy due to right distal ureteric & left mid ureteric calculi causing bilateral moderate hydroureteronephrosis (Grade III)


Ultrasound Images:

Right:

 

Enlarged right kidney with echogenic parenchyma & moderate pelvicalyceal system dilatation.


Right distal ureteric calculus casting acoustic shadow on grayscale & twinkling artifact on color Doppler 


Right distal ureteric calculus casting acoustic shadow on grayscale & twinkling artifact on color Doppler with proximal dilatation


Right distal ureteric calculus 


Right distal ureteric calculus 


Left:


Enlarged left kidney with echogenic parenchyma & moderate pelvicalyceal system dilatation.


Left mid ureteric calculus


Left mid ureteric calculus with proximal luminal dilatation






Case 71: Urinary Bladder Mass || Ultrasound

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Clinical Features:

A 38-year-old male patient came with hematuria.


Ultrasound Features:

- Irregular hypoechoic area attached to the left posterolateral wall of the urinary bladder.

- Color Doppler shows internal vascularity.


Ultrasound Diagnosis:

Urinary bladder mass.


Ultrasound Images:



Irregular hypoechoic area attached to the left posterolateral wall of the urinary bladder



3D ultrasound showing luminal irregular mass



Color Doppler shows intratumoral vascularity



Color Doppler shows intratumoral vascularity



Pulsed Doppler shows intratumoral high resistant flow (RI: 0.84)





Case 57: Urinary Bladder Diverticulum || Ultrasound

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Clinical Features:

A 65 years old female patient came with

- Lower abdominal pain

- Frequency of micturition


Ultrasound Features:

A saccular outpouching is seen from the right posterolateral urinary bladder wall communicating with the bladder lumen via a wide neck & mild trabeculation of the nearby wall.


Remember:

- Wide neck diverticula empty readily with bladder
- Narrow neck diverticula may cause urinary stasis & its complications, such as infection, stone & ureteral obstruction


Ultrasound Images:





Fig: Urinary bladder diverticulum from the right posterolateral wall communicating with the lumen via a wide neck & mild trabeculation of the nearby wall.


YouTube Video Link:


https://youtu.be/ZoeyRAalsUA