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Journal of Indian Association of... Jul 2011In this paper, we aim to highlight a case report of a rare association of anomalies comprising patent urachus, double urethra and development of testicular teratoma.
In this paper, we aim to highlight a case report of a rare association of anomalies comprising patent urachus, double urethra and development of testicular teratoma.
PubMed: 21897573
DOI: 10.4103/0971-9261.83495 -
Urology Case Reports Nov 2022Urachal cancer is a rare but aggressive malignancy. A urachal mass concerning for adenocarcinoma was identified in a 32-year-old G2P1 female on 12-week ultrasound and...
Urachal cancer is a rare but aggressive malignancy. A urachal mass concerning for adenocarcinoma was identified in a 32-year-old G2P1 female on 12-week ultrasound and confirmed on pelvic MRI. Due to progressive growth of the mass and refractory abdominal pain, a multi-disciplinary meeting was held, after which the patient chose to undergo an exploratory laparotomy. A tubo-ovarian abscess was identified involving the intestine, right ovary, fallopian tube, and communicating with a patent, necrotic urachus. This is the first reported case of a tubo-ovarian abscess masquerading as a urachal malignancy, which can present similarly with abdominal pain and irritative urinary symptoms.
PubMed: 36033164
DOI: 10.1016/j.eucr.2022.102191 -
Clinical Case Reports Aug 2021Simultaneous presentation of omphalocele, patent urachus, and umbilical cyst is very rare. There is wide range of differential diagnosis for umbilical cyst. Accurate...
Simultaneous presentation of omphalocele, patent urachus, and umbilical cyst is very rare. There is wide range of differential diagnosis for umbilical cyst. Accurate assessment of umbilical cysts is important to evaluate other abnormalities.
PubMed: 34466243
DOI: 10.1002/ccr3.4664 -
Journal of Surgical Case Reports Jul 2019A urachus is a vestigial tubular structure that connects the urinary bladder to the allantois during early embryonic development. Urachal remnants are classified as...
A urachus is a vestigial tubular structure that connects the urinary bladder to the allantois during early embryonic development. Urachal remnants are classified as patent urachus, urachal sinus, urachal cyst, and urachal diverticulum. Ten patients with urachal remnants underwent surgery at our institution between 2015 and 2019. Six patients had a urachal sinus, and four had a urachal diverticulum. Two patients with urachal sinus underwent excision of the urachal remnant, from the umbilicus to the urinary bladder, using an umbilical approach. The other four patients with urachal sinus underwent laparoscopic surgery with excision of the urachal remnant, from the umbilicus to the urinary bladder. All patients with urachal diverticulum underwent open excision of the diverticulum through a Pfannenstiel incision. Pathologic examination of all urachal remnants showed no evidence of neoplasm and complete excision. All patients had an uneventful postoperative course and are doing well.
PubMed: 31384429
DOI: 10.1093/jscr/rjz222 -
Journal of Surgical Case Reports Apr 2011We report a baby with an unusual umbilical cord swelling. On the antenatal scans, a cystic area within the umbilical cord near its insertion onto the abdominal wall was...
We report a baby with an unusual umbilical cord swelling. On the antenatal scans, a cystic area within the umbilical cord near its insertion onto the abdominal wall was detected. Postnatally an unusually thick umbilical cord with a yellow fluid filled cyst at the base was noted. The fluid from the cyst was confirmed as urine and ultrasound confirmed patent urachus. The baby underwent a cystoscopy and excision of patent urachus with associated allantoic cyst. Allantoic cyst is a rare swelling formed at the base of umbilicus associated with a patent urachus which results from an allantoic remnant. Paediatricians need to be aware about this condition as investigation is required to differentiate allantois cysts from umbilical pseudocysts. A patent urachus with allantoic cyst requires surgical excision.
PubMed: 24950576
DOI: 10.1093/jscr/2011.4.5 -
Urology Journal Feb 2019Infra-vesical obstruction is uncommon in infants and generally due to urethral valves. Congenital urethral strictures (CUS), instead, defined as a concentric narrowing...
PURPOSE
Infra-vesical obstruction is uncommon in infants and generally due to urethral valves. Congenital urethral strictures (CUS), instead, defined as a concentric narrowing of the urethral lumen, are exceedingly rare in infants.
MATERIALS AND METHODS
We reviewed our experience with 7 patients treated at our institution for CUS
RESULT
In a single patient, the urethral stricture was an isolated condition, 3 had a Prune Belly Syndrome (PBS) and the remaining 3 had an Ano-Rectal Malformation (ARM). Four patients had upper tract dilatation detected on prenatal ultrasound. Five patients had upper tract dilatation on postnatal ultrasound. Five patients had impaired renal function at diagnosis and 3 required renal transplantation eventually. On micturating cystourethrography, all strictures were located in the anterior urethra and 4 cases had associated vesicoureteral reflux. In all cases, but one urinating via a patent urachus, initial management included insertion of a supra-pubic catheter. Subsequently, the CUS could be treated by dilatation or endoscopic incision in the 3 patients with Prune belly syndrome, whereas 3 of the remaining 4 required a formal urethroplasty.
CONCLUSION
Diagnosis and treatment of CUS in infants and children remain difficult to standardize. At presentation, urinary diversion is key to avoid progressive renal damage in infants that can already have an impaired renal function. Anterior strictures in patients with PBS are likely to be fixed with progressive dilatation. In other patients, instead, urethroplasty should be considered. A formal vesicostomy or, if possible, an urethrostomy can allow temporizing final surgery. A major problem we experienced in the treatment of CUS is that the small endoscopicinstruments required in this age group make urethral instrumentation more difficult and less effective than in olderchildren and adults.
Topics: Abnormalities, Multiple; Anal Canal; Dilatation; Humans; Infant; Prune Belly Syndrome; Plastic Surgery Procedures; Rectum; Retrospective Studies; Urethral Stricture; Urinary Diversion; Vesico-Ureteral Reflux
PubMed: 30058064
DOI: 10.22037/uj.v0i0.4045 -
The Indian Journal of Surgery Dec 2015Here, we present a pictorial description of a rare case of patent urachus in a neonate and its management.
Here, we present a pictorial description of a rare case of patent urachus in a neonate and its management.
PubMed: 26730097
DOI: 10.1007/s12262-013-0848-x -
Medical Ultrasonography Aug 2019This study's aim is to present the specific ultrasonography (US) findings of a series of urachus anomalies.
AIMS
This study's aim is to present the specific ultrasonography (US) findings of a series of urachus anomalies.
MATERIAL AND METHODS
Seven patients with suspected urachal anomalies underwent US scanning initially prior to the surgery and the features of images were reviewed respectively. The clinical data and pathologic results were collected also.
RESULTS
US successfully diagnosed urachal anomalies in 5 patients (5/7, 71.4%) and failed to diagnose in 2 patients (2/7, 28.6%). Patent urachus showed a tubule between the umbilicus and bladder; urachal sinus was a blind focal dilatation at the umbilical end, while vesicourachal diverticulum was an outpouching at the vesical end and urachal cyst was identified as an anechoic structure along the urachus. Non-enhancement in the base and centre was the distinct features of urachus carcinoma by contrastenhanced ultrasonography (CEUS). Using a high frequency probe and CEUS the diagnostic ability of US may be improved.
CONCLUSION
US showed good diagnostic ability in urachal anomalies and combined with CEUS could improve the differential diagnosis.
Topics: Adult; Aged; Diagnosis, Differential; Female; Humans; Infant; Infant, Newborn; Male; Middle Aged; Ultrasonography; Urachal Cyst; Urachus; Urinary Bladder Neoplasms
PubMed: 31476210
DOI: 10.11152/mu-1878 -
BJR Case Reports 2016The urachus is the remnant of the cloaca and allantois, and attaches the umbilicus to the bladder dome. Urachal anomalies are symptomatically identified during...
The urachus is the remnant of the cloaca and allantois, and attaches the umbilicus to the bladder dome. Urachal anomalies are symptomatically identified during childhood. It rarely occurs in adults, making diagnosis difficult. We present and discuss the case of an infected patent urachus in a 30-year-old male.
PubMed: 30363670
DOI: 10.1259/bjrcr.20150226 -
Indian Journal of Pathology &... 2023One of the typical complaints in the pediatric population is umbilical discharge. Among the congenital causes, remnants of omphalomesenteric duct or patent urachus are... (Review)
Review
One of the typical complaints in the pediatric population is umbilical discharge. Among the congenital causes, remnants of omphalomesenteric duct or patent urachus are often detected. On a few occasions, multiple types of ectopic tissue are present. We describe histopathologic findings of two cases reported recently at our center as pediatric umbilical lesions with associated ectopic tissue. Histopathology of the excised mass confirmed the patent omphalomesenteric duct with ectopic gastric, duodenal, and colonic mucosa and pancreatic tissue in two patients with the clinical presentation of umbilical discharge. There were no associated congenital anomalies in these patients. The presence of multiple ectopic gastrointestinal mucosa and pancreas in the umbilical mass is unusual. Herein, we report these cases because of its rarity, multiple ectopic tissues, and reviewing the literature of the reported cases of multiple ectopic tissues.
Topics: Humans; Child; Choristoma; Patient Discharge; Vitelline Duct; Stomach; Pancreas
PubMed: 37077097
DOI: 10.4103/ijpm.ijpm_526_21