SDMS CME Credit – Sonographic Evaluation of an Urachal Remnant: A Case Report

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Author: Courtney Gushi, BS, RT(R)(M), RDMS, RVT, RDCS

Category: Pediatric Sonography [PS]

Credit: 0.50 SDMS CME Credit

Objectives: After studying the article, you should be able to:

• Define the embryological development of the urachus.

• List the potential complications associated with urachal anomalies.

• Identify the types of urachal anomalies and sonographic appearances.

1. According to the article, what is the prevalence of urachal anomalies in the pediatric population?

2. B. 1.03% to 1.6%

3. C. 2.03% to 1.6%

4. D. 2.07% to 3.1%

Carcinogenesis malignancy accounts for what percentage of all urinary bladder malignancies?

A. 50%

B. Greater than 1%

C. Less than 0.5%

D. Greater than 0.5%

What are the suspicious sonographic findings that may represent urachal carcinoma?

A. A tumor that may show calcifications and be homogeneous

B. A tumor that is not homogeneous and has no calcifications

C. A tumor that shows no calcifications and is not heterogeneous

D. A tumor that may be heterogenous and show calcifications

According to the article, what are the distinct types of urachal anomalies?

A. Non-patent urachus, umbilical-urachal sinus, vesical-urachal diverticulum, bladder cyst

B. Patent urachus, umbilical-bladder sinus, vesical-urachal diverticulum, bladder cyst

C. Patent urachus, umbilical-urachal sinus, vesical-urachal diverticulum, urachal cyst

D. Non-patent urachus, umbilical-urachal sinus, vesical-urachal diverticulum, bladder cyst

At what age do urachal remnants have a high chance of spontaneous resolution?

A. The first year of life

B. Between the second and third years of life

C. Never

D. The second year of life