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Agreement between sonographic and pathoanatomic classifications of pediatric urachal remnants Cover

Agreement between sonographic and pathoanatomic classifications of pediatric urachal remnants

Open Access
|Dec 2025

Figures & Tables

Fig. 1.

Ultrasound appearance of urachal remnants. A. Urachal diverticulum. The caudally non-obliterated urachal duct results in an extension of the bladder dome, although it is rather small in this case due to low bladder filling (marked with a white star). B. Urachal cyst. The urachal duct is obliterated cranially and caudally, with a cyst and, occasionally, residual non-obliterated duct parts, remaining in between. C. Urachal sinus. The proximal part of the urachal duct is non-obliterated and connected to the umbilicus. D. Patent urachus. The urachal duct is persistent along its entire length
Ultrasound appearance of urachal remnants. A. Urachal diverticulum. The caudally non-obliterated urachal duct results in an extension of the bladder dome, although it is rather small in this case due to low bladder filling (marked with a white star). B. Urachal cyst. The urachal duct is obliterated cranially and caudally, with a cyst and, occasionally, residual non-obliterated duct parts, remaining in between. C. Urachal sinus. The proximal part of the urachal duct is non-obliterated and connected to the umbilicus. D. Patent urachus. The urachal duct is persistent along its entire length

Basic demographic data of included patients and their respective ultrasound and pathoanatomic diagnosis

AgeSexSonographic diagnosisPathoanatomic diagnosisIncidental finding
10.9 yFUrachal sinusPatent urachusNo
0 yMPatent urachusConservative managementYes, evaluated for anorectal malformation
1 yMNormal resultUrachal sinusNo
0 yMUrachal diverticulumConservative managementYes, evaluated for lower urinary tract obstruction
0.1 yFUrachal sinusUrachal sinusNo
15.9 yMUrachal cystUrachal cystYes, suspected appendicitis
0.2 yFNormal resultUrachal sinusNo
0 yMPatent urachusPatent urachusYes, evaluated for anorectal malformation
0.2 yMPatent urachusPatent urachusNo
0.2 yFUrachal cystUrachal cystNo
1 yMPatent urachusPatent urachusNo
0.1 yMInconclusive normal result (VCU: Patent urachus)Patent urachusNo
11.5 yMPatent urachusPatent urachusNo
10.1 yMUrachal sinusUrachal sinusNo
0.1 yMPatent urachusPatent urachusNo
DOI: https://doi.org/10.15557/jou.2025.0032 | Journal eISSN: 2451-070X | Journal ISSN: 2084-8404
Language: English
Published on: Dec 31, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Laura S. Oerters, Sophie H. K. Maasewerd, Mark Born, Maximilian Hohenadel, Andreas C. Heydweiller, Christina Oetzmann von Sochaczewski, published by MEDICAL COMMUNICATIONS Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.