Ten Years of Experience With Isolated Urachal Anomalies in Children

Mesrobian, Hrair-George O.; Zacharias, Alex; Balcom, Anthony H.; Cohen, Roger D.

doi:10.1097/00005392-199709000-00173

Cited by 75 publications

(39 citation statements)

References 7 publications

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“…If the obliteration of the urachal patency does not proceed normally after birth, the persistent urachal remnant may result in various clinical problems. The congenital urachal anomalies are more common in males and have 4 types including patent urachus (about 50% of cases), urachal cyst (about 30%), urachal sinus (about 15%), and urachal diverticulum (about 5%) [2]. The incidence of urachal anomalies in infancy and childhood has been reported at about 1 in 5,000 with 3:1 male to female ratio [3].…”

Section: Discussionmentioning

confidence: 99%

“…If the patient has a huge size of abscess with poor general condition, it is better to perform percutaneous drainage of the urachal abscess before surgical excision [8]. Because of the high recurrence rate and possibility of developing carcinoma in the urachal remnant, it is a key point to complete resection of the cyst wall throughout its length during operation [9]. Operation may include removal of cuff of the bladder if there is communication between the urachal cyst and the bladder.…”

Section: Discussionmentioning

confidence: 99%

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Urachal cyst presenting with huge abscess formation in adults

Lee¹,

Lee

Shin

2012

J Korean Surg Soc

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Urachal disease, a disorder where embryonic remnant of the cloaca and the allantois present after birth as a midline fibrous cord, is usually detected in infancy and childhood. But urachal disease in adults is rare. We report a case of a huge abscess derived from a urachal cyst in an adult. A 52-year-old man presented with peri-umbilical distension and abdominal pain for 2 weeks. Ultrasonography and abdominal computed tomography scan demonstrated a huge abscess derived from the abdominal wall. After prompt incision and drainage, the remaining abscess cavity was removed completely under general anesthesia. Pathologic report was consistent with urachal duct cyst, and the patient was discharged in a week without complication.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Urachal cyst presenting with huge abscess formation in adults

Lee¹,

Lee

Shin

2012

J Korean Surg Soc

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“…Histologically, it presents with 3 layers: an innermost layer of modified transitional epithelium similar to the urothelium, a middle layer of fibro-connective tissue, and an outermost layer of smooth muscle continuing the detrusor [1, 3]. Usually presenting in early childhood, Urachal anomalies occur in a 2 : 1 male to female ratio with 2% ratio reported in adults [3].…”

Section: Discussionmentioning

confidence: 99%

“…Usually presenting in early childhood, Urachal anomalies occur in a 2 : 1 male to female ratio with 2% ratio reported in adults [3]. …”

Section: Discussionmentioning

confidence: 99%

Urachal Sinus Presenting with Abscess Formation

et al. 2011

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Urachal affections are rare. Their variable ways of presentation may represent a diagnostic challenge. Urachal sinuses are a rare type of these abnormalities. They are usually incidental findings and remain asymptomatic unless a complication (most commonly the infection) occurs. Infection of the urachal sinus would clinically present as purulent umbilical discharge, abdominal pain, and periumbilical mass. We report herein a case of infected urachal sinus in male adult. The diagnosis was suspected clinically and confirmed with ultrasonography and computed tomography scan. A preoperative cysto-fibroscopy showed normal aspect of the bladder and excluded sinus communication. An initial broad spectrum antibiotic therapy followed by complete excision of the sinus and fibrous tract without cuff of bladder has been therefore performed. The postoperative course was uneventful. No recurrence was observed after 18 months of followup. Histological examination did not reveal any sign of malignancy.

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“…Urachal cysts are rare anomalies that occur from the urachus. Most urachal cysts are not detected until adulthood, although they are detected rarely in asymptomatic children 2,3. A urachal cyst presents four anomalies: a patent urachus, a vesicourachal diverticulum, urachal cysts, and a urachal sinus 4-8…”

Section: Introductionmentioning

confidence: 99%

Treatment of Infected Urachal Cysts

2006

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The urachus is a fibrous cord that arises from the anterior bladder wall and extends cranially to the umbilicus. Traditionally, infection has been treated using a two-stage procedure that includes an initial incision and drainage which is then followed by elective excision. More recently, it has been suggested that a single-stage excision with improved antibiotics is a safe option. Thus, we intended to compare the effects of the two-stage procedure and the single-stage excision. We performed a retrospective review on nine patients treated between May 1990 and September 2005. The methods used in diagnosis were ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), and cystoscopy. The study group was comprised of three males and six females with a mean age of 28.2 years (with a range from three to 71 years). Symptoms consisted of abdominal pain, abdominal mass, fever, and dysuria. The primary incision and drainage followed by a urachal remnant excision with a bladder cuff excision (two-stage procedure) was performed in four patients. The mean postoperative hospitalization lasted 5.8 days (with a range of three to seven days), and there were no reported complications. A primary excision of the infected urachal cyst and bladder cuff (single-stage excision) was performed in the other five patients. These patients had a mean postoperative hospitalization time of 9.2 days (with a range of four to 15 days), and complications included an enterocutaneous fistula, which required additional operative treatment. The best method of treating an infected urachal cyst remains a matter of debate. However, based on our results, the two-stage procedure is associated with a shorter hospital stay and no complications. Thus, when infection is extensive and severe, we suggest that the two-stage procedure offers a more effective treatment option.

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Ten Years of Experience With Isolated Urachal Anomalies in Children

Cited by 75 publications

References 7 publications

Urachal cyst presenting with huge abscess formation in adults

Urachal cyst presenting with huge abscess formation in adults

Urachal Sinus Presenting with Abscess Formation

Treatment of Infected Urachal Cysts

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