1.Laparoscopic Management of Complicated Urachal Remnant in a Child.
Tong Wook KIM ; Hong CHUNG ; Sang Kuk YANG ; Tae Ui LEE ; Seung Hyo WOO ; Hong Sup KIM
Journal of Korean Medical Science 2006;21(2):361-364
A few cases of laparoscopic surgery for urachal remnant in children has been reported in English literature. With recent developments in minimal invasive surgery, laparoscopic approach for urachal remnant in adulthood is recommended by some laparoscopic surgeons because of its technical feasibility and safety as well as cosmesis. Recently we experienced a case of complicated urachal remnant in a 14-month-old girl, who was managed by laparoscopic approach. At presentation, she complained of high fever and lower urinary tract symptoms. After 6 weeks of antibiotics therapy, laparoscopic surgery was performed transperitoneally via 3 ports. Our experience suggests that laparoscopic excision of urachal remnant can be performed easily and safely in children.
Urachus/*abnormalities/pathology/*surgery
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Staphylococcus aureus
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Staphylococcal Infections/complications
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Laparoscopy/*methods
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Infant
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Humans
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Female
2.Diagnosis and treatment of urachal remnants with heterotopia sinus: a report of 2 cases.
Xuan-Wen ZHU ; Yu SHEN ; Bao-Hang ZHANG ; Jia-Jun YAN
National Journal of Andrology 2005;11(2):142-144
OBJECTIVETo probe into the diagnosis and treatment of urachal remnants with heterotopic sinus.
METHODSTwo cases with penis dorsal drainage for 5 approximately 6 years were diagnosed as urachal anomaly by sinus probing, methylene blue injection test, cystoscope examination, and type B ultrasonic examination, and both received surgical removal of the urachus and all the abnormal tissues associated with it.
RESULTSSurgery and pathology proved urachal cyst with communication drainage in both of the patients. Follow-up survey showed no recurrence and malignancy.
CONCLUSIONSinus probing, mythylene blue injection test and type B ultrasonic examination are effective methods for the diagnosis of urachal remnants with heterotopic sinus. Surgical treatment should include radical removal of the urachus and the abnormal tissues associated with it.
Adult ; Cystoscopy ; Humans ; Male ; Methylene Blue ; Urachal Cyst ; diagnosis ; pathology ; Urachus ; abnormalities ; pathology ; surgery
3.Urachal Anomalies in Children: A Single Center Experience.
Youn Joung CHOI ; Jong Min KIM ; Sun Young AHN ; Jung Tak OH ; Sang Won HAN ; Jae Seung LEE
Yonsei Medical Journal 2006;47(6):782-786
The objective of this study is to define optimal diagnosis and treatment strategies for patients with urachal anomalies in the pediatric age group. The medical records of 21 children who had undergone surgery for urachal anomalies at Severance Hospital, Yonsei University College of Medicine from January 1990 to April 2005 were reviewed. The subjects included 14 males and 7 females (M:F 2:1). The four types of urachal anomalies confirmed were a urachal cyst in 10 patients (47.6%), a patent urachus in 6 (28.6%), a urachal sinus in 4 (19.0%) and a urachal diverticulum in 1 (4.8%) patient. The most common presenting complaint was umbilical discharge (n = 10, 40.0%), followed by abdominal mass (n = 9, 36.0%). Urachal anomalies were diagnosed by ultrasonography in 18 patients, and 7 of them were additionally examined by computed tomography. The remaining patients were diagnosed solely by surgical exploration. Excision was performed in all patients and was supplemented by partial cystectomy in three. Umbilical discharge was the most common clinical manifestation in our patients, suggesting that ultrasonography should be performed in patients with umbilical discharge to differentiate urachal anomalies. We found the most common anomaly to be the urachal cyst, and all patients were successfully treated by surgical excision.
Urachus/*abnormalities/surgery
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Urachal Cyst/*diagnosis/surgery
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Male
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Infant, Newborn
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Infant
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Humans
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Hospitals, University
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Female
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Child, Preschool
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Child
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Abnormalities/diagnosis/surgery
4.Urachal Sinus Presenting with Periumbilicus Abscess.
Hyun Jeong HAN ; Yoon Ah CHO ; Soo Jung PARK
The Korean Journal of Gastroenterology 2015;66(4):242-244
No abstract available.
Abscess/*diagnosis
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Fibrosis
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Humans
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Intestine, Small/pathology/surgery
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Male
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Peritonitis/diagnosis
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Tomography, X-Ray Computed
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Urachus/*abnormalities
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Young Adult