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Diagnostic Ultrasound - Abdomen and Pelvis

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Ureters <strong>and</strong> Bladder<br />

Anatomy: <strong>Pelvis</strong><br />

URINARY BLADDER, ULTRASOUND<br />

Bladder wall<br />

Bladder lumen<br />

Uterus<br />

Bladder<br />

Ovary<br />

Cervix<br />

Uterus<br />

Pouch of Douglas<br />

Bladder<br />

Partly seen left ureter jet<br />

Right ureteric jet<br />

(Top) Transverse transabdominal grayscale ultrasound shows the suprapubic region at the uterine body level. The transducer must be<br />

angled caudally to image the urinary bladder, especially when it is not well distended <strong>and</strong> assumes a retropubic location. (Middle)<br />

Longitudinal transabdominal grayscale ultrasound at the suprapubic region shows a well-distended urinary bladder with a posteriorly<br />

located uterus. Note the anechoic appearance of the urinary bladder due to its fluid-filled state, which acts as an acoustic window,<br />

permitting through transmission of the ultrasound beam <strong>and</strong> optimal visualization of posterior pelvic structures. (Bottom) Transverse<br />

color Doppler ultrasound of the bladder in the suprapubic region shows ureteral jets.<br />

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