Bladder Hemangioma Associated with Klippel-Trenaunay Syndrome: Case Report

Klippel-Trenaunay syndrome is a rare congenital vascular disorder characterized by cutaneous hemangioma, multiple varicosities, and hypertrophy of involved extremities. It is rarely associated with bladder hemangioma. The authors report the imaging findings of a case of the Klippel-Trenaunay syndrome involving hemangioma of the bladder.

Nephrogenic Adenoma Arising from the Urinary Bladder: A Case Report

Nephrogenic adenoma is a benign metaplastic lesion of the urinary tract occurring most frequently at the urinary bladder. It is very rare, especially in children. We describe the US, CT and MRI findings of nephrogenic adenoma arising from the urinary bladder in an 8-year-old girl who suffered rupture of the bladder, ure-thra and vagina after a traffic accident and whose condition was complicated by urethral stricture and vesi-coureteral reflux.

Xanthogranulomatous Cystitis: A Case Report

Xanthogranulomatous cystitis is a rare benign inflammatory disease that develops from a urachal remnant or occurs in association with pelvic surgery. Because it manifests as an infiltrative tumor-like lesion arising from the mid-line along the bladder dome and anterior abdominal wall, it is not easy to differentiate from The authors encountered one case of xanthogranulomatous cystitis, diagnosed by means of surgery and pathologic examination, and we report the related ultrasonographic and CT findings.

Introital Ultrasonography in Female Urinary Incontinence

PURPOSE: To evaluate the usefulness of introital ultrasonography in the assessment of female urinary incontinence. MATERIALS AND METHODS: Introital ultrasonography was performed in fifteen patients with stress urinasy incontinence(mean age 50) and six patients without symptoms of incontinence(mean age 37). Using a sagittalsection of the anterior pelvis in the plane of the symphysis pubib the posterior rethrovesical angle, the pubourethral distance and the pubo-yretgrak abgle were measured at rest and during stree(Valsalva's maneuverstate). The student T-test and the ANOVA test were used in statistical analysis. RESULTS: The posterior urethrovesical angles of the controls were 125.3 degrees (+/- 10.9) at rest and 125.7 degrees (+/-7.6) during stress. In thepatients, the corresponding angles were 135.3 degrees (+/-11.3) and 139.6 degrees (+/-10.8). The posterior urethrovesical angles increased 0.3 degrees (+/-4.7) in the controls and 5.6 degrees (+/-4.0) in the patients(p=0.018). In the controls, thepubo-urethral distances were 21.8mm(+/- 5.8) at rest and 18.2mm(+/-7.1) during stress, while in the patients thesedistances were 18.4mm(+/-3.9) and 12.6mm(+/-4.4). The pubo-urethra distance decreased 3.5mm(+/-1.5) in the controls and 5.8mm(+/-2.3) in the patients(p=0.039). In the patients with mild incontinence(Gradel), the posterior urethrovesical angles increased 3.4 degrees (+/-2.8) : 132.3 degrees (+/-12.5) at rest and 135.6 degrees (+/-12.8) during stress. In the patients with moderate incontinence(Grade II), the angles increased 8.1 degrees (+/-3.8) : 136.0 degrees (+/-6.5) at rest and 144.1 degrees (+/-5.9) during stress. The change of the posterior urethrovesical angle was related to the grade of urinary incontinence in the patients(p<0.05). There was no statistical significancy in the pubo-urethral angle(p=0.315). CONCLUSION: Introital ultrasonography may be useful for assessment of stress urinary incontinence.