Diagnostic Ultrasound - Abdomen and Pelvis
Ureters and Bladder URINARY BLADDER Anatomy: Pelvis Peritoneum Uterus Cervix Urinary bladder Pubic symphysis Rectum Vagina Urethra Peritoneum Urinary bladder Public symphysis Seminal vesicle Rectum Prostate Urethra (Top) Graphic of a sagittal section of the female bladder shows that it rests almost directly on the muscular floor of the pelvis. The dome of the bladder is covered with peritoneum. The bladder is surrounded by a layer of loose fat and connective tissue (the prevesical and perivesical spaces) that communicate superiorly with the retroperitoneum. Note the vagina/uterus in the female pelvis, which intervenes between the urinary bladder and rectum. (Bottom) Graphic of a sagittal section of the male bladder shows that it rests on the prostate, which separates it from the muscular pelvic floor. The bladder wall is muscular, strong, and very distensible. In males the urinary bladder is directly anterior to the rectum. 113
Ureters and Bladder Anatomy: Pelvis URINARY BLADDER, ULTRASOUND Bladder wall Bladder lumen Uterus Bladder Ovary Cervix Uterus Pouch of Douglas Bladder Partly seen left ureter jet Right ureteric jet (Top) Transverse transabdominal grayscale ultrasound shows the suprapubic region at the uterine body level. The transducer must be angled caudally to image the urinary bladder, especially when it is not well distended and assumes a retropubic location. (Middle) Longitudinal transabdominal grayscale ultrasound at the suprapubic region shows a well-distended urinary bladder with a posteriorly located uterus. Note the anechoic appearance of the urinary bladder due to its fluid-filled state, which acts as an acoustic window, permitting through transmission of the ultrasound beam and optimal visualization of posterior pelvic structures. (Bottom) Transverse color Doppler ultrasound of the bladder in the suprapubic region shows ureteral jets. 114
- Page 84 and 85: Kidneys Subcutaneous fat Left latis
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- Page 88 and 89: Kidneys Right lobe of liver MULTIPL
- Page 90 and 91: Bowel - Forms an incomplete ring in
- Page 92 and 93: Bowel Falciform ligament STOMACH AN
- Page 94 and 95: Bowel SMALL INTESTINE Anatomy: Abdo
- Page 96 and 97: Bowel Abdominal wall STOMACH Anatom
- Page 98 and 99: Bowel Rectus muscle SMALL BOWEL Ana
- Page 100 and 101: Bowel Abdominal wall musculature Ce
- Page 102 and 103: Bowel LARGE BOWEL Abdominal wall mu
- Page 104 and 105: Bowel Urinary bladder RECTOSIGMOID
- Page 106 and 107: Abdominal Lymph Nodes RETROPERITONE
- Page 108 and 109: Abdominal Lymph Nodes LYMPHANGIOGRA
- Page 110 and 111: Peritoneal Spaces and Structures PE
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- Page 116 and 117: Peritoneal Spaces and Structures IN
- Page 118 and 119: Abdominal Wall ANTERIOR ABDOMINAL W
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- Page 124 and 125: Abdominal Wall Right lobe of liver
- Page 126 and 127: Abdominal Wall Right rectus abdomin
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- Page 130 and 131: PART I SECTION 2 Pelvis Ureters and
- Page 132 and 133: Ureters and Bladder - Distended bla
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- Page 142 and 143: Prostate ○ Sac-like structures su
- Page 144 and 145: Prostate ZONAL ANATOMY OF THE PROST
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- Page 148 and 149: Prostate PROSTATE ANATOMY Anatomy:
- Page 150 and 151: Testes ○ Internal oblique muscle
- Page 152 and 153: Testes EPIDIDYMIS AND SCROTAL WALL
- Page 154 and 155: Testes TESTIS, SAGITTAL VIEW Anatom
- Page 156 and 157: Testes Scrotal wall EPIDIDYMIS, HEA
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- Page 170 and 171: Uterus FALLOPIAN TUBE Anatomy: Pelv
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Ureters <strong>and</strong> Bladder<br />
URINARY BLADDER<br />
Anatomy: <strong>Pelvis</strong><br />
Peritoneum<br />
Uterus<br />
Cervix<br />
Urinary bladder<br />
Pubic symphysis<br />
Rectum<br />
Vagina<br />
Urethra<br />
Peritoneum<br />
Urinary bladder<br />
Public symphysis<br />
Seminal vesicle<br />
Rectum<br />
Prostate<br />
Urethra<br />
(Top) Graphic of a sagittal section of the female bladder shows that it rests almost directly on the muscular floor of the pelvis. The<br />
dome of the bladder is covered with peritoneum. The bladder is surrounded by a layer of loose fat <strong>and</strong> connective tissue (the prevesical<br />
<strong>and</strong> perivesical spaces) that communicate superiorly with the retroperitoneum. Note the vagina/uterus in the female pelvis, which<br />
intervenes between the urinary bladder <strong>and</strong> rectum. (Bottom) Graphic of a sagittal section of the male bladder shows that it rests on<br />
the prostate, which separates it from the muscular pelvic floor. The bladder wall is muscular, strong, <strong>and</strong> very distensible. In males the<br />
urinary bladder is directly anterior to the rectum.<br />
113
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