Management of urachal anomalies in children and adults

Umbilical-Urachus Sinus A variant of Patent Urachus Presentation With Management in Adults- A single Center Experience

“…Surgical treatment in children consisted of simple excision, whereas over 50% of adults required partial or radical cystectomy because of malignancy [4] . A recent report showed that children are more likely to have an infected urachal cyst, while adults are more likely to have an infected urachal sinus [5] .…”

Relevance of Infection in Children with Urachal Cysts

“…A similar experience has been presented by Agatstein and Stabile [17]who treated 4 children with urachal abscess using laparotomy and primary cyst excision (100%). In contrast, Iuchtman et al [3]utilized primary cyst removal in 3 of 6 patients with infected urachal cysts (50%), whereas the other 3 (50%) underwent staged cyst excision.…”

“…To date, uniform guidelines concerning the evaluation and treatment of urachal cysts are lacking. In particular, in the previous literature, surgical management of this anomaly has varied from simple drainage to complete excision [2, 3, 4]. In order to establish a cost–effective approach for achieving a satisfactory outcome, we studied 10 children with urachal cysts over a 11–year period.…”

Infected Urachal Cyst Following Laparoscopic Cholecystectomy

“…In rare cases, spontaneous rupture of an infected cyst into the abdominal cavity occurs and can result in sepsis or generalized peritonitis, 19 which can be severe. 11,20,21 If the bladder is involved, urinary tract infections and symptoms may also be present. 2 Although diagnosis is typically made with CT imaging, ultrasonography can also be useful.…”