Cystic pelvic pathology presenting as falsely elevated post-void residual urine measured by portable ultrasound bladder scanning: report of 3 cases and review of the literature.
Dedicated portable ultrasound devices generally offer a rapid, noninvasive, largely operator-independent means of assessing post-void residual urine (PVR) volume. In most published series, PVR measured by portable ultrasound correlates well with catheterized urine volume. We report 3 cases in which follow-up of falsely elevated PVR measurements on ultrasound resulted in comparatively low catheterized volumes. In all 3 cases, the elevated readings were due to cystic ovarian pathology, which was diagnosed by formal radiologic evaluation and ultimately confirmed operatively in 2 cases. Cystic pathology of the pelvis or lower abdomen may present as an elevated PVR on ultrasound and low urine volume on subsequent catheterization and should prompt further evaluation.
Cooperberg
M R
MR
Department of Surgery, Section of Urology, Yale University School of Medicine, New Haven, Connecticut 06520-8041, USA.
Chambers
S K
SK
Rutherford
T J
TJ
Foster
H E
HE
D000328:Adult; D000368:Aged; D018282:Cystadenocarcinoma, Mucinous / Q000150:complications / Q000175:diagnosis; D018293:Cystadenoma, Serous / Q000150:complications / Q000175:diagnosis; D005260:Female; D006801:Humans; D008875:Middle Aged; D010048:Ovarian Cysts / Q000150:complications* / Q000175:diagnosis; D010051:Ovarian Neoplasms / Q000150:complications* / Q000175:diagnosis; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging*; D014546:Urinary Catheterization; D016055:Urinary Retention / Q000175:diagnosis* / Q000209:etiology*