The sonographic records of 27 children who underwent a Cohen ureteroneocystostomy were reviewed. In 13 children (48%) sonograms demonstrated an echogenic, nonacoustically shadowing structure at or just above the trigone that was fixed in position within the bladder wall and covered by intact mucosa. This constellation of sonographic findings, which represent the submucosal segment of the reimplanted ureter, produces a "tunnel sign." Awareness of this appearance will enable the sonographer to better evaluate children who have undergone surgical procedures on the bladder.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1148/radiology.165.3.3317510 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Adult Wilms Tumor With Inferior Vena Cava Thrombus on an Incomplete Duplex Collecting System Ureter Fissus Proximalis Managed at a Tertiary Hospital in Tanzania: A Case Report and Literature Review.
Clin Case Rep
January 2025
Department of Surgery Muhimbili University of Health and Allied Sciences Dar es Salaam Tanzania.
Wilms' tumor (WT), also known as nephroblastoma, is a malignant embryonal kidney tumor composed of embryonic cells and is the most prevalent tumor among children, but isolated cases occur infrequently in the adult population. Adult WT is defined according to the criteria of Kilton, Matthews, and Cohen, which comprise age above 15 years and histological patterns characteristic of WT. We report a case of an adult WT with venous thrombus on an incomplete duplex collecting system.
View Article and Find Full Text PDFVesico-ureteral reflux diagnosis after initial kidney abscess: Results from a Paediatric Tertiary Hospital.
Acta Paediatr
November 2024
Néphrologie Pédiatrique, Centre de Référence MARHEA, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique - Hôpitaux de Paris (APHP), Institut Imagine, INSERM U1163, Université Paris Cité, Paris, France.
Article Synopsis
- This study looked at kids who had a kidney abscess to see how often they had a problem called vesicoureteral reflux (VUR).
- They found that about 41% of the kids had VUR, which is similar to kids who have kidney infections.
- The study suggests that doctors should think about using a special test called VCUG when kids have kidney abscesses or infections multiple times, especially if there are signs of kidney damage.
Introduction: Endoscopic combined intrarenal surgery after anti-reflux operation is rarely performed.
Case Presentation: A 37-year-old female was referred to our hospital for treatment of left renal stone. She underwent anti-reflux surgery (Cohen reimplantation) for left vesicoureteral reflux at the age of 10 years.
Single-port-plus-one robot-assisted laparoscopic Lich-Gregoir direct nipple ureteral extravesical reimplantation in pediatric primary obstructive megaureter, comparing to laparoscopic cohen.
Eur J Med Res
May 2024
Shengli Clinical Medical College of Fujian Medical University, 1 North Xuefu Road, Fuzhou, 350122, Fujian, China.
Article Synopsis
- - The study compared two surgical techniques for treating pediatric primary obstructive megaureter: the single-port-plus-one robotic laparoscopic-modified Lich-Gregoir approach (Group L) and the traditional laparoscopic Cohen method (Group C) using data from 24 children.
- - Both techniques resulted in a 100% obstruction resolution rate; however, Group L had a longer total operation time but shorter postoperative recovery metrics like blood loss and catheterization time compared to Group C.
- - Overall, both surgical approaches proved effective and safe for ureteral reimplantation, with no significant differences in outcomes such as ureteral diameter or function post-operation.
Efficacy Analysis of Pneumocystoscopic Cohen Surgery for Lower Ureteral Lesions in Children.
Altern Ther Health Med
May 2024
Article Synopsis
- This study compares the effectiveness and safety of minimally invasive pneumocystoscopic ureterovesical reimplantation (Cohen) to traditional open surgery for treating lower ureteral issues in children.* -
- Researchers analyzed data from 60 children who underwent the Cohen procedure, dividing them into two groups: one had open surgery and the other had the pneumocystoscopic method; both groups had similar outcomes in long-term recovery and complications.* -
- Results indicated that the pneumocystoscopic approach led to smaller incisions, less bleeding, and shorter hospital stays, highlighting its advantages in terms of patient recovery and overall safety in pediatric surgical cases.*
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!