Urachal anomalies in children: A single center experience
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TLDR
The most common anomaly was the urachal cyst, and all patients were successfully treated by surgical excision, suggesting that ultrasonography should be performed in patients with umbilical discharge to differentiate urACHal anomalies.Abstract:
The objective of this study is to define optimal diagnosis and treatment strategies for patients with urachal anomalies in the pediatric age group. The medical records of 21 children who had undergone surgery for urachal anomalies at Severance Hospital, Yonsei University College of Medicine from January 1990 to April 2005 were reviewed. The subjects included 14 males and 7 females (M:F 2:1). The four types of urachal anomalies confirmed were a urachal cyst in 10 patients (47.6%), a patent urachus in 6 (28.6%), a urachal sinus in 4 (19.0%) and a urachal diverticulum in 1 (4.8%) patient. The most common presenting complaint was umbilical discharge (n = 10, 40.0%), followed by abdominal mass (n = 9, 36.0%). Urachal anomalies were diagnosed by ultrasonography in 18 patients, and 7 of them were additionally examined by computed tomography. The remaining patients were diagnosed solely by surgical exploration. Excision was performed in all patients and was supplemented by partial cystectomy in three. Umbilical discharge was the most common clinical manifestation in our patients, suggesting that ultrasonography should be performed in patients with umbilical discharge to differentiate urachal anomalies. We found the most common anomaly to be the urachal cyst, and all patients were successfully treated by surgical excision.read more
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Journal ArticleDOI
Management of Urachal Remnants in Early Childhood
Vincenzo Galati,Ben O. Donovan,Faridali Ramji,Jeffrey B. Campbell,Bradley P. Kropp,Dominic Frimberger +5 more
TL;DR: Urachal remnants in patients younger than 6 months are likely to resolve with nonoperative management, however, if symptoms persist or the urachal remnant fails to resolve after 6 months of age, it should be excised to prevent recurrent infections.
Journal ArticleDOI
Imaging of the urachus: Anomalies, complications, and mimics
TL;DR: Complications of urachal anomalies have nonspecific clinical findings and can mimic other abdominal and pelvic processes and should be recognized early to ensure optimal management.
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
The impact of preoperative ultrasound on correct diagnosis of urachal remnants in children
TL;DR: Preoperative ultrasound findings of all patients who were operated on for suspected urachal anomalies between 1990 and 2008 were retrospectively compared with the final diagnosis, finding that ultrasonography helps to identify urACHal anomalies in case of their presence but is not helpful to rule out a nonexisting urachAl anomaly.
Journal ArticleDOI
Laparoscopic management of symptomatic urachal remnants in adulthood.
TL;DR: Laroscopy is a useful alternative for the management of persistent or infected urachus, especially when its presence is clinically suspected despite the lack of sonographic evidence, and is associated with low morbidity, although a small risk of bladder injury exists.
References
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Book
Campbell's urology
TL;DR: Pediatric Urology Normal and Anomalous Development of the Urogenital System Renal Function in the Fetus, Neonate, and Child Perinatal Urology Evaluation of the Pediatric Urologic Patient Renal Disease in Childhood Urinary Tract.
Book
The developing human
Keith L. Moore,T. V. N. Persaud +1 more
TL;DR: The developing human :, The developing human as discussed by the authors, کتابخانه دیجیتالی دانشگاه علوم پزش
Book
Embryology for Surgeons
TL;DR: Embryology for surgeons, EmbryOLOGY for surgeons , کتابخانه مرکزی دانشگاه علوم پزشدکی اتهران.
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.