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ARDMS AB-Abdomen Exam - Topic 2 Question 2 Discussion

Actual exam question for ARDMS's AB-Abdomen exam
Question #: 2
Topic #: 2
[All AB-Abdomen Questions]

Which retroperitoneal finding is most likely associated with trauma?

Show Suggested Answer Hide Answer
Suggested Answer: C

Urinomas are collections of urine in the retroperitoneum that result from trauma, surgery, or obstruction causing urine leakage. Trauma is a frequent cause of urinoma formation due to disruption of the urinary tract.

According to Rumack's Diagnostic Ultrasound:

''Urinomas may develop as a complication of trauma, surgery, or obstructive uropathy with urinary extravasation into the retroperitoneum.''


Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.

AIUM Practice Parameter for Renal Ultrasound, 2020.

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Contribute your Thoughts:

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Karina
9 hours ago
I didn't know Urinoma was linked to trauma like that!
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Marti
6 days ago
C is the most common, no doubt!
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Maia
11 days ago
Wait, are we sure about that? Sounds off.
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Sharmaine
16 days ago
C) Urinoma is the way to go. Trauma is most likely to cause a leak or collection of urine in the retroperitoneal space.
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Magnolia
21 days ago
Haha, I bet the answer is C) Urinoma. That's the only one that doesn't sound like a fancy name for a medical condition.
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Lai
26 days ago
I'm going with C) Urinoma. It's the only option that seems directly related to a traumatic injury in the retroperitoneal area.
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Rueben
1 month ago
Definitely C) Urinoma. Trauma can cause a rupture in the urinary system, leading to a urinoma in the retroperitoneal space.
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Cherelle
1 month ago
I’m really unsure about this one. Neuroblastoma doesn’t seem like it fits with trauma, but I could be wrong.
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Anastacia
1 month ago
I’m leaning towards urinoma as the answer, but I’m not confident. Fibrosis seems more chronic, right?
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Lenita
2 months ago
I feel like we practiced a question similar to this, and I think it was about retroperitoneal hematomas being associated with trauma.
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Alex
2 months ago
I feel pretty confident about this one. Retroperitoneal trauma often leads to urine leakage and the formation of a urinoma. That's gotta be the best answer here.
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Arlyne
2 months ago
Okay, let's see. Neuroblastoma and adenoma are tumors, so those are less likely. Fibrosis is more of a chronic process. I'm going to go with C) urinoma.
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Cherry
2 months ago
I think the answer is C) Urinoma. That makes the most sense for a retroperitoneal finding related to trauma.
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Jose
2 months ago
I'm a bit confused on this one. I know trauma can cause fluid collections, but I'm not sure which one is most likely. Gonna have to review my notes.
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Alyce
2 months ago
I thought it was A) Neuroblastoma?
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Odette
3 months ago
Definitely C) Urinoma. Trauma-related for sure.
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Herminia
3 months ago
I think I remember something about urinomas being linked to trauma, but I'm not entirely sure.
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Kayleigh
3 months ago
Urinoma, definitely. That's got to be the most likely traumatic finding in the retroperitoneal space.
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Abraham
3 months ago
Hmm, this seems like a tricky one. I'll need to think carefully about the retroperitoneal anatomy and common traumatic injuries.
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