Radiographic Findings in Anomalies of the Urachus

Ney, Charles; Friedenberg, Richard M.

doi:10.1016/s0022-5347(17)62694-6

Cited by 18 publications

(4 citation statements)

References 3 publications

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“…The embryologic origin of the urachal anomalies is not clear yet. There are two main theories regarding the development of urachus during foetal life: one is that the urachus originates from the allantois; the other states that the urachus and the upper part of the bladder develop from the ventral aspect of the cloaca and thus the development of the urachal tract is related to the descent of the bladder into its final position [5]. The persistent patency of foetal communication between the bladder lumen and umbilicus will result in a CPU.…”

Section: Discussionmentioning

confidence: 99%

Congenital Patent Urachus Associated with Incomplete Urethral Duplication: A Rare Association

Vaos

Zavras²

2006

Eur J Pediatr Surg

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Section: Discussionmentioning

confidence: 99%

Congenital Patent Urachus Associated with Incomplete Urethral Duplication: A Rare Association

Vaos

Zavras²

2006

Eur J Pediatr Surg

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“…Derived from involution of the allantois, which begins in months 4-5 of gestation, its lumen closes and it becomes a fibrous cord called the median umbilical ligament by birth. 4,5 Rare anomalies result from a failure of the urachal lumen to close. These have been classified into five types: congenital patent urachus, umbilical urachal sinus, vesicourachal diverticulum, urachal cyst, and alternating sinus.…”

Section: Discussionmentioning

confidence: 99%

Familial Urachal Sinus Associated with a Possible Congenital Malformation: Report of a Case

et al. 2003

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We report a rare case of familial urachal disease associated with a congenital malformation. A 34-year-old woman was referred to our hospital with recurrent umbilical purulent discharge. She had undergone partial resection of the small intestine for obstruction and, later, a pyeloplasty for a stricture of the ureter-pyelo junction. Her younger brother had also undergone surgery for a urachal sinus 1 year earlier. She was found to have an umbilical granuloma with a fistulous track that could be probed for 3 cm distally. Computed tomography (CT) and ultrasonography confirmed the fistulous track. Under a diagnosis of urachal sinus, a urachal remnant was excised. Histological analysis of the excised specimen revealed only inflammatory granulomatous tissue with marked infiltration of lymphocytes and foreign body giant cells. Urachal cysts are associated with a risk of intestinal strangulation and therefore, the finding of urachal disease justifies detailed evaluation.

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“…Urachal sinus anomalies have been diagnosed traditionally by radiography [15]. A patent urachus can be injected at the umbilical opening with a radio-opaque material, or a cystogram can be done to demonstrate the patency at the umbilicus.…”

Section: Discussionmentioning

confidence: 99%