Isolated Pelvic Fluid in Males on Outpatient Magnetic Resonance Imaging Examinations

Fox, Michael G.; Balin, Jefferson; Stephens, Tausha; Patrie, James T.; Brant, William E.; Lange, Eduard E. de

doi:10.1097/rct.0000000000000124

Cited by 1 publication

(5 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Less than 10 mL fluid has been assumed normal in all age groups without evidence of underlying disease [2, 4, 22]. However in this study, 15% of females and 3% of males had more than 10 mL fluid during puberty transition.…”

Section: Discussionmentioning

confidence: 55%

“…In all previous studies, more than 10 mL pelvic free fluid was rarely reported in asymptomatic individuals. Less than 10 mL fluid has been assumed normal in all age groups without evidence of underlying disease [2, 4, 22]. However in this study, 15% of females and 3% of males had more than 10 mL fluid during puberty transition.…”

Section: Discussionmentioning

confidence: 55%

“…To the best of our knowledge, there have been no previous studies that have investigated PFF in a healthy pubescent cohort by MRI. As a result, the prevalence and volume of fluid in pubescent populations assed with MRI could be different from the prevalence previously reported with ultrasonography [2, 4]. It may be difficult to determine whether incidentally-identified PFF is normal or abnormal; studies on prevalence and volume of PFF in healthy volunteers would assist in clarifying how much isolated fluid is physiological.…”

Section: Introductionmentioning

confidence: 82%

“…This result may be due to higher sensitivity for detection of fluid as measured by MRI compared to ultrasonography and CT scan. We chose our study population to be of ages that would encompass the full range of pubertal stages since this age group is associated with hormonal changes [2]. …”

Section: Discussionmentioning

confidence: 99%

“…As such, it has been proposed that detection of significant fluid requires further diagnostic assessment to exclude serious conditions [1]. However, detection of minimal PFF in healthy children is not uncommon, possibly due to increased peritoneal permeability [1, 2]. Previous studies using ultrasonography have indicated a higher prevalence (12 %) of PFF in asymptomatic children aged 9 to 15 years compared to other age groups, with the maximum volume ranging from 1 – 6.9 mL [1–3].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Evaluation of incidental pelvic fluid in relation to physiological changes in healthy pubescent children using pelvic magnetic resonance imaging

et al. 2019

View full text Add to dashboard Cite

Background: Peritoneal free fluid (PFF) can indicate an underlying disease process; however, detection of minimal PFF in healthy children is not uncommon. Objective: To assess the significance of incidental PFF within healthy children by MRI and its relation to physiological changes during puberty. Methods: This prospective study was performed on 32 healthy volunteers (20 males) between the ages of 8 to 13 years, with consecutive follow-ups every 8–10 months for an average of 3 years. BMIz score, pubertal status, C-reactive protein and sex hormone concentrations assessed prior to MRI studies. A total of 120 pelvic MRI studies (61 males) were reviewed, and the quantity of PFF was measured. Linear mixed model accounting for within-patient correlations was used for statistical analysis. Results: The mean ± standard deviation volume of PFF was 4.7 ± 5.65 mL in females and 1.9 ± 3.11 mL in males with a maximum volume of 25 mL and 17 mL, respectively. The prevalence of PFF was significantly higher in females (91%) compared to males (67%) (P = 0.0035). In 15% of the females and 3% of the males the fluid was greater than 10 mL. The mean volume of PFF in 4th stage was higher and significantly different with the first stage of puberty (P = 0.01). Conclusion: Among healthy pubescent children, the prevalence of PFF is significantly higher in females. The volume of PFF may reach volumes greater than 10 mL during normal puberty, especially in 4th stage, and can be assumed normal in the absence of active disease.

show abstract

Section: Discussionmentioning

confidence: 55%