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Society for Pediatric Radiology – Poster Archive


Urachus
Showing 4 Abstracts.

Zhang Yachao,  Mcnerney Kevin,  Brudnicki Adele

Final Pr. ID: Poster #: EDU-145

Demonstrate an effective visual learning method by utilizing simple graphics/diagrams with matching real-time case examples including fluoroscopy and ultrasound imaging findings of GU anomalies.

Review the categories of congenital GU anomalies including posterior urethral valves, urachal anomalies and inguinal hernia/hydrocele.

Review the embryology, clinical manifestations and management of these GU anomalies.
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Authors:  Zhang Yachao , Mcnerney Kevin , Brudnicki Adele

Keywords:  Urachus, Posterior urethral valve, Hydrocele

Hodes Aaron,  Armenta Paul,  Levin Terry

Final Pr. ID: Poster #: EDU-018

Urachal remnants include patent urachus, urachal cyst, urachal sinus and urachal diverticulum. Clinical presentation is variable depending on the type of urachal remnant and the patient’s age. Infants with a patent urachus often present with persistent umbilical discharge or granuloma, while older patients may present with urinary tract infection, or inflammation of the urachal remnant mimicking appendicitis or other intraabdominal inflammatory process. Urachal remnants may also be incidental or may be associated with an existing syndrome such as Eagle Barrett Syndrome. In this presentation, to understand the derivation of the different types of urachal remnants, the embryologic development of the urachus and its relationship to the bladder and allantois is reviewed. Diagnostic ultrasonographic, fluoroscopic and CT images in patients with different types of urachal remnants are shown. Additionally, an unusual case of bladder prolapse presenting as an umbilical mass in a newborn with a patent urachus is presented. Read More

Authors:  Hodes Aaron , Armenta Paul , Levin Terry

Keywords:  Urachus, Bladder, Umbilicus

Farhat Ahmed,  Huang Pauline,  Servaes Sabah,  Hailemichael Eyassu

Final Pr. ID: Poster #: CR-021

The urachus is a connection between the early fetal bladder and the allantois that functions to remove nitrogenous waste through the umbilical cord and placenta during gestation. During fetal development or early in the neonatal course, the urachus typically obliterates. Failure to obliterate can result in an abnormal persistence of an embryonic urachal remnant of multiple subtypes, including a patent urachus which has a completely patent lumen between the bladder and umbilicus. Recent studies support initial conservative management over prophylactic surgical excision of pediatric urachal anomalies, even in symptomatic cases, with the conservative approach becoming increasingly favored, especially in children 6 months to 1 year of age, where spontaneous resolution and involution are likely. We present the case of a 60 days old infant who initially presented with bloody umbilical discharge and ultrasound findings of a patent urachus. Read More

Authors:  Farhat Ahmed , Huang Pauline , Servaes Sabah , Hailemichael Eyassu

Keywords:  Patent Urachus

Devgan Arushi,  Rowell Amy

Final Pr. ID: Poster #: EDU-029

This poster aims to educate about the radiographic findings of pediatric umbilical disorders by presenting a case series, and to correlate the pathology with embryogenesis. Read More

Authors:  Devgan Arushi , Rowell Amy

Keywords:  Umbilical disorders, omphalomesenteric duct, urachus