Journal ArticleDOI
Diagnosis and Management of Urachal Anomalies in Children
Hans Arora,Jeffrey M. Donohoe +1 more
TLDR
Congenital urachal anomalies are present in less than 2 % of the general pediatric population and while traditionally thought of as pre-malignant, their clinical significance particularly in the asymptomatic patient has been questioned.Abstract:
Congenital urachal anomalies are present in less than 2 % of the general pediatric population. While traditionally thought of as pre-malignant, their clinical significance particularly in the asymptomatic patient has been questioned. The presence of a urachal anomaly in childhood does not appear to confer an increased risk of urachal cancer in adulthood. These remnants are classified based upon their anatomic location and communication with either the umbilicus or bladder and may present with a variety of symptoms. When clinical signs and symptoms suggest the presence of an urachal anomaly, ultrasonography is the most appropriate initial diagnostic imaging test. Observation with or without follow-up imaging is an acceptable initial step in management as these often regress without surgical intervention particularly in asymptomatic patients. When infectious symptoms are present, a course of antibiotics may be recommended prior to surgery to reduce the chance of postoperative wound infection.read more
Citations
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Journal Article
Malignant urachal lesions.
TL;DR: In this article, the authors recommend en bloc cystectomy with umbilectomy and pelvic lymphadenectomy unless the tumor is known to be a sarcoma or early stage (I) carcinoma.
Journal ArticleDOI
Conservative management of urachal anomalies.
Christopher R. Dethlefs,Shahab Abdessalam,Stephen C. Raynor,Deborah Perry,Sandra Allbery,Elizabeth Lyden,Kenneth S. Azarow,Robert A. Cusick,Robert A. Cusick +8 more
TL;DR: It is found that a shift towards nonoperative treatment of urachal anomalies did not adversely affect overall outcomes, and doctors should recommend observing minimally symptomatic patients, especially those under six months old.
Journal ArticleDOI
Urachal Remnants in Patients Presenting to the Emergency Department with Abdominal Pain.
TL;DR: Although rare, symptomatic disorders of urachal remnants may present at any age, these disorders should be kept in mind by the emergency physician among the broad list of differential diagnoses accounting for abdominal pain.
Journal ArticleDOI
A persistent vitelline artery in an adult. Case report and review of literature
Cornelius Lemke,Uta Biedermann +1 more
TL;DR: In this article, a case of a persistent vitelline (omphalomesenteric) artery originating from the superior mesenteric artery is presented, where the artery gives off a branch to the intestinum still within the mesentery, runs freely through the abdominal cavity and reaches the right medial umbilical fold.
Journal ArticleDOI
The primary considerations and image guided diagnosis of an infected urachal cyst in a pediatric patient.
TL;DR: The urachus is the embryological remnant of the allantois, which connects the apex of the bladder to the umbilicus, and usually fully obliterates to become the median umbilical ligament.
References
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Journal ArticleDOI
Malignant Urachal Lesions
TL;DR: Any tumor on the dome or anterior wall should be approached initially as if it were a urachal tumor and, therefore, en bloc cystectomy with umbilectomy and pelvic lymphadenectomy unless the tumor is known to be a sarcoma or early stage (I) carcinoma.
Journal ArticleDOI
Urachal Remnant Diseases: Spectrum of CT and US Findings
TL;DR: Computed tomography (CT) and ultrasonography (US) can help identify most disease entities originating from the urachal remnant in the anterior abdominal wall, making it difficult to differentiate between them.
Journal ArticleDOI
Urachal anomalies: defining the best diagnostic modality.
TL;DR: The diagnosis of urachal abnormalities can be made with certainty if a good physical examination and the appropriate radiographic test are performed.
Journal ArticleDOI
Urachal Anomalies: A Longitudinal Study of Urachal Remnants in Children and Adults
Richard A. Ashley,Brant A. Inman,Jonathan C. Routh,Audrey L. Rohlinger,Douglas A. Husmann,Stephen A. Kramer +5 more
TL;DR: Urachal lesions noted early in childhood should be excised to prevent problems in adulthood and cancer risk increased with advancing adult age.