-
BMJ Case Reports Jun 2014We report the case of a 17-year-old girl who presented to the accident and emergency department with dysuria and foul smelling, bloody discharge from her umbilicus. The...
We report the case of a 17-year-old girl who presented to the accident and emergency department with dysuria and foul smelling, bloody discharge from her umbilicus. The definitive diagnosis was that of a patent urachus, which is a fistulous communication between the bladder and the umbilicus, usually diagnosed in early infancy. The incidence of a patent urachus is approximately 1 in 70,000 in the general population. It is highly likely that removal of a recent belly button piercing resulted in the acute presentation by completing the fistulous tract to the skin. This case is of clinical relevance as the diagnosis was missed 18 months prior with a milder presentation. The recommended treatment option is surgical excision due to the potential risk of malignant change, with urachal adenocarcinoma accounting for 0.3% of all bladder cancers.
Topics: Adolescent; Body Piercing; Cutaneous Fistula; Female; Humans; Umbilicus; Urachus; Urinary Bladder Diseases
PubMed: 24916980
DOI: 10.1136/bcr-2014-204336 -
The Cornell Veterinarian Oct 1969
Topics: Animals; Animals, Newborn; Sheep; Sheep Diseases; Urachus
PubMed: 5389256
DOI: No ID Found -
International Journal of Urology :... Sep 1994A rare case of the congenital patent urachus in an adult is reported. The patient, a 42-year-old man, was admitted with the chief complaint of macroscopic hematuria....
A rare case of the congenital patent urachus in an adult is reported. The patient, a 42-year-old man, was admitted with the chief complaint of macroscopic hematuria. During the cystoscopy perfusion water discharged from the umbilicus. Diagnostic imaging revealed a tubular fistula between the bladder and umbilicus and the patient underwent urachal resection and partial cystectomy. Microscopically the lumen was lined by transitional, columnar and squamous epithelium and there was no evidence of malignancy. To date 11 cases of congenital patent urachus in an adult have been reported in Japan. From a review of the Japanese literature, the common chief complaint is urine discharge from the umbilicus accompanying cystitis and/or urachal inflammation. Urachal resection is performed in all cases. We also clarified the epithelial histology of the patent urachus in this patient.
Topics: Adult; Fistula; Hematuria; Humans; Male; Tomography, X-Ray Computed; Umbilicus; Urachus; Urinary Bladder
PubMed: 7614387
DOI: 10.1111/j.1442-2042.1994.tb00050.x -
The New England Journal of Medicine Jul 2000
Topics: Aged; Aged, 80 and over; Female; Humans; Magnetic Resonance Imaging; Radiography; Urachus; Urinary Bladder
PubMed: 10882767
DOI: 10.1056/NEJM200007063430106 -
Hinyokika Kiyo. Acta Urologica Japonica May 1995A case of congenital patent urachus is reported. A 12-month-old boy was referred to our outpatient clinic with the complaint of watery discharge from the navel. A... (Review)
Review
A case of congenital patent urachus is reported. A 12-month-old boy was referred to our outpatient clinic with the complaint of watery discharge from the navel. A cystography revealed the communication between the dome of the urinary bladder and the umbilicus. Excretion from the umbilicus of indigocarmine solution instilled into the urinary bladder was recognized. There were no complicated abnormalities in other organs. The patient underwent radical operation. Herein, we collected 164 cases of urachal disorders reported in Japan and reviewed the incidence, clinical symptoms, diagnosis and treatment. The classifications of the disease were briefly discussed.
Topics: Humans; Infant; Male; Urachus
PubMed: 7598042
DOI: No ID Found -
Pediatrics and Neonatology Jul 2022
Topics: Cysts; Female; Gastrointestinal Diseases; Humans; Pregnancy; Ultrasonography, Prenatal; Umbilical Cord; Umbilicus; Urachus
PubMed: 35550350
DOI: 10.1016/j.pedneo.2022.03.008 -
Pediatrics and Neonatology Jul 2022
Topics: Cysts; Female; Gastrointestinal Diseases; Humans; Pregnancy; Ultrasonography, Prenatal; Umbilical Cord; Umbilicus; Urachus
PubMed: 35637080
DOI: 10.1016/j.pedneo.2022.04.003 -
Ultrasound in Obstetrics & Gynecology :... Jun 1997We present the sonographic findings of a fetus with a vesicoallantoic cyst. The cyst was first identified at 17 weeks of gestation; it was associated with an...
We present the sonographic findings of a fetus with a vesicoallantoic cyst. The cyst was first identified at 17 weeks of gestation; it was associated with an omphalocele, and disappeared spontaneously at 29 weeks. The fetal urinary bladder was not visualized thereafter. An omphalocele and exstrophia of the urachus were found at birth and repaired. Non-visualization of the fetal urinary bladder suggested rupture of the covering membrane of the omphalocele and allantois during fetal life. A defect in the wall of the omphalocele supported our hypothesis.
Topics: Adult; Allantois; Cysts; Female; Gestational Age; Hernia, Umbilical; Humans; Infant, Newborn; Male; Pregnancy; Pregnancy Trimester, Second; Remission, Spontaneous; Ultrasonography, Prenatal; Urachus; Urinary Bladder
PubMed: 9239830
DOI: 10.1046/j.1469-0705.1997.09060422.x -
Canadian Medical Association Journal Jul 1962
Topics: Abdominal Muscles; Abdominal Wall; Child; Disease; Gastrointestinal Diseases; Humans; Infant; Urachus; Urinary Bladder Diseases; Urinary Fistula
PubMed: 13881125
DOI: No ID Found -
Journal of Nippon Medical School =... Apr 2003A characteristic prenatal ultrasonographic finding of patent urachus is described. Routine obstetrical ultrasonography first revealed a cystic mass in the umbilical cord...
A characteristic prenatal ultrasonographic finding of patent urachus is described. Routine obstetrical ultrasonography first revealed a cystic mass in the umbilical cord at 16 weeks of gestation. The mass spontaneously decreased in size and was undetectable at full term on serial ultrasound examination. The male newborn infant was delivered uneventfully at 38 weeks of gestation, weighing 2,774 g. He was noted to void urine from the umbilicus soon after birth, and the diagnosis of patent urachus was confirmed. On the 8th day of life, complete surgical removal of the urachus was performed, and the postoperative course was uneventful. An umbilical cystic mass which diminishes in size over the course of pregnancy is a sugesstive prenatal sonographic finding for urachal anomalies.
Topics: Adult; Female; Humans; Infant, Newborn; Male; Pregnancy; Ultrasonography, Prenatal; Urachus
PubMed: 12802379
DOI: 10.1272/jnms.70.172