Re: Distended Urinary Bladder

From: Mário Libardi (mariolibardi@uol.com.br)
Fri May 2 07:54:35 2003


Ross

I'll scan this fetus again in the next week and I'll try to identify the two hipogastric arteries to confirm that image is the bladder. Very interesting your comments about fetal urinary bladder in the early gestation.

Thanks a lot

Mário Libardi Multimagem Ultra-sonografia Botucatu, Sao Paulo Brasil

> ----- Original Message -----
From: Dr Ross Welch, UK To: Multiple recipients of list ULTRASOUND Sent: Thursday, May 01, 2003 4:47 AM Subject: Re: Distended Urinary Bladder

Dear Mario

I have seen a number of "distended" bladders at this gestation. The majority have returned to normal proportions later in gestation (by 16/40). They are a worry though as they could be an early PUV or prune belly. I've just returned from the 22nd fetal Medicine & Surgery meeting where the 10 yr follow up is still clearly showing benefits of early bladder shunting so I would follow closely.

I believe bladder function happens earlier than the books say. I certainly regularly see bladders (defined by identifying the two hyopogastric arteries going to the cord) when doing NT scans at 11-13 weeks.

Ross Welch

-- Consultant Fetomaternal Medicine Arrowe Park Hospital Wirral UK




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