URACHAL ANOMALIES – A RARE CAUSE OF ABDOMINAL PAIN AND FEVER
Authors:
Jana Horáková 1; Jan Starczewski 1; Miloš Fiala 1; Vladislav Smrčka 2; Jiří Kubále 3; Aleš Petřík 1
Authors‘ workplace:
Urologické oddělení Nemocnice České Budějovice, a. s.
1; Dětské oddělení Nemocnice České Budějovice, a. s.
2; Radiodiagnostické oddělení Nemocnice České Budějovice, a. s.
3
Published in:
Ces Urol 2015; 19(3): 220-224
Category:
Case report
Overview
Urachal anomalies are rare. Literary data include case reports, studies analysing data from large groups are not available. Optimal treatment remains a matter of debate. The disease has a good prognosis when adequate treatment is initiated early. It can however also manifest with a lifethreatening sepsis or peritonitis. We report a case of 13-month-old girl with infected urachal cyst.
Key words:
Urachus, urachal anomalies, urachal carcinoma, urachal cyst, urachal disease.
Sources
1. Choi YJ, Kim JM, Sun Ahn SY, et al. Urachal Anomalies in Children: A Single Center Experience. Yonsei Med J 2006 Dec 31; 47(6): 782–786.
2. Bagnara V, Antoci S, Bonforte S, et al. Clinical considerations, management and treatment of fever of unknown origin caused by urachal cyst: a case report. J Med Case Rep 2014 Mar 25; 8(1): 106.
3. Mainer K, Čuřík R. Zánětlivé komplikace cysty urachu. Ces Urol 2000; 4(4): 35–38.
4. Peremský Z, Maksym F, Bican Z. Problematika urachu. Urol. praxi 2013; 14(5): 229–231.
5. Cilento BG Jr, Bauer SB, Retik AB, Peters CA, Atala A. Urachal anomalies: defining the best diagnostic modality. Urology 1998 Jul; 52(1): 120–122.
6. Gleason JM, Bowlin PR, Bagli DJ, et al. A comprehensive review of pediatric urachal anomalies and predictive analysis for adult urachal adenocarcinoma. J Urol 2015 Feb; 193(2): 632–636.
7. Tazi F, Ahsaini M, Khalouk, A et al. Absces of urachal remnants presenting with acute abdomen: a case series. J Med Case Rep 2012; 6: 226.
8. Nimmonrat A, Na-Chiang Mai W, Muttarak M. Urachal abnormalities: Clinical and imaging features. Singapore Med J 2008; 49(11): 930.
9. Janiš L, Štursa M, Vágner T, Fejfar J. Karcinom urachu. Ces Urol 2011; 15(4): 251–255.
10. Huang CS, Luo CC, Chao HC, Chen HM, Chu SM. Urachal Anomalies in Children: Experience at one institution. Chang Gung Med J 2003; 26(6): 412–416.
11. Ueno T, Hashimoto H, Yokoyama, H et al. Urachal anomalies: ultrasonography and management. J Pediatr Surg 2003 Aug; 38(8): 1203–1207.
12. Copp HL, Wong IY, Krishnan C, Malhotra S, Kennedy WA. Clinical presentation and urachal remont patology: Implications for treatment. J Urol 2009 Ict; 182(4 Suppl): 1921–1924.
13. Sato H, Futura S, TsujiS, Kawase H, Kitagawa H. The current strategy for urachal remnants. Pediatr Surg Int 2015 Jun; 31(6): 581–587.
14. Yoo KH, Lee SJ, Chang SG. Treatment of infected urachal cysts. Yonsei Med J 2006 Jun 30; 47(3): 423–427.
15. McCollum MO, Macneily AE, Blair GK. Surgical implications of urachal remnants: presentation and management. J Pediatr Surg 2003 May; 38(5): 798–803.
16. Pesce C, Costa L, Musi L, Campobasso P, Zimbardo L. Relevance of infection in children with urachal cysts. Eur Urol 2000 Oct; 38(4): 457–460.
17. Minevich E, Wacksman J, Lewis AG, Bukowski TP, Sheldon CA. The infected urachal cyst: primary excision versus a staged approach. J Urol 1997 May; 157(5): 1869–1872.
18. Nogueras-Ocana M, Rodriguez-Belmonte R, Ubero-Fernandez J, et al. Urachal anomalies in children: Surgical or conservative treatment? J Pediatr Urol 2014 Jun; 10(3): 522–526.
19. Bertozzi M, Riccioni S, Appignani A. Laparoscopic treatment of symptomatic urachal remnants in children. J Endourol 2014 SEp; 28(9): 1091–1096.
Labels
Paediatric urologist Nephrology UrologyArticle was published in
Czech Urology
2015 Issue 3
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