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Keyhole sign: how specific is it for the diagnosis of posterior urethral valves
Ultrasound in Obstetrics and Gynecology, 10/22/09
Bernardes LS et al. – In this series the use of classical prenatal ultrasound signs to diagnose PUV showed high sensitivity but low specificity. The best diagnostic indicators were increased bladder wall thickness and dilatation of the bladder. The keyhole sign was not found to be a reliable predictor of PUV.
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