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CHAPTER 54 Pediatric Pelvic Sonography 1911

A B C

FIG. 54.66 Cystitis. (A) Chronic bacterial cystitis. Transverse sonogram demonstrates bladder wall thickening (arrow). (B) and (C) Cyclophosphamide

(Cytoxan) cystitis in child after bone marrow transplant. The bladder wall is thickened and hyperemic. Debris is noted within the bladder

lumen.

B

B

A

B

C

B

B

D

E

FIG. 54.67 Bullous, Benign Cystitis From Cytomegalovirus After 24 Hours of Dysuria and Hematuria. (A) Sagittal sonogram of the bladder

(B). Complex mass containing multiple, well-circumscribed, hypoechoic and anechoic, polypoid lesions (arrows) arising from the dome and projecting

into the lumen. (B) Hemorrhagic cystitis. Transverse view of the bladder (B) shows asymmetrical bladder wall thickening involving the left half of

the bladder (black arrows) with polypoidlike protrusions of thickened wall (small white arrows) into bladder lumen. (C) Frontal image from voiding

cystourethrography shows concentric narrowing. (D) Sagittal sonogram with partial bladder (B) illing shows masslike thickening of the posteroinferior

bladder walls (arrows). (E) Sagittal sonogram obtained after further bladder (B) illing shows a decrease in the apparent size of the mass (arrows)

with increased bladder distention. (B and E with permission from Rosenberg HK, Eggli KD, Zerin JM, et al. Benign cystitis in children mimicking

rhabdomyosarcoma. J Ultrasound Med. 1994;13[12]:921-932. 217 )

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