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Journal of Ultrasound in Medicine, Vol 15, Issue 3 189-194, Copyright © 1996 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Urinary bladder diverticula: sonographic diagnosis and interpretive pitfalls

C. H. Maynor, M. A. Kliewer, B. S. Hertzberg, E. K. Paulson, M. T. Keogan and B. A. Carroll
Department of Radiology, Duke University Medical Center, Durham, North Carolina 27710, USA.

Diverticula of the urinary bladder can occasionally appear as complex pelvic masses not obviously connected to the bladder. Such presentations can lead to diagnostic confusion and interpretative error. Sonographic findings and clinical histories were reviewed in 11 patients in whom bladder diverticula were initially mistaken for other types of pathologic pelvic processes. Sonographic techniques that were helpful in elucidating the true nature of the lesions included scanning from different perspectives with increasing increments of bladder distention, postvoid images, endovaginal views, and color Doppler interrogation. The diagnosis of bladder diverticula should be considered and actively pursued when sonologists are confronted with pelvic masses of ambiguous origin.




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Copyright © 1996 by the American Institute of Ultrasound in Medicine.