What is urachal anomaly?

What is urachal anomaly?

The urachus has no purpose after birth, so if it remains it can cause health problems. These problems are called “urachal abnormalities.” Problems with a urachal abnormality are rare. They can be seen in infants or children, and rarely in adults.

How is urachal remnant diagnosed?

Urachal disorders are usually diagnosed when there are symptoms such as: drainage from the umbilicus, redness around umbilicus, abdominal pain, or urinary tract infection. An ultrasound can often detect urachal anomalies but occasionally other tests are needed.

What is a Eureka cyst?

A urachal cyst is a sac-like pocket of tissue that develops in the urachus, a primitive structure that connects the umbilical cord to the bladder in the developing baby. Although it normally disappears prior to birth, part of the urachus may remain in some people.

What is the purpose of the urachus?

The urachus is a fibrous cord arising from the early fetal anterior bladder wall to the allantois, extending cranially to the umbilicus [1]. In the first trimester of gestation, the role of the urachus is to facilitate the removal of the neonate’s nitrogenous waste through the placenta via the umbilical cord [1].

Is urachus normal?

This is called the urachus. This channel normally closes up as the fetus grows. However, when it doesn’t close fully, and the baby is born with part or all of it open, it’s called a urachal remnant. This is a rare condition and it can lead to health problems.

How common are Urachal cysts?

Urachal cysts are, in particular, usually asymptomatic and have been incidentally detected in autopsy studies with an incidence of 1 in 5000 [3]. This entity may only present in the context of abnormal bladder function or bladder outlet obstruction.

How do I get rid of urachal remnant?

The traditional approach for removing a urachal remnant has been open surgery with a hypogastric transverse or midline infra-umbilical incision, which is associated with increased morbidity and longer convalescence.

Do urachal cysts hurt?

Urachal cysts present a variety of clinical manifestations that include localized periumbilical or lower abdominal pain, fever, omphalitis, urinary symptoms, or a painful and palpable mass. Abdominal pain is the most common symptom, according to most studies.

What does a urachal cyst feel like?

The symptoms of an urachal cyst are usually painless, but there may be discomfort with bowel movements or difficulty emptying the bladder. Urinary tract infections are common and some people have had surgery to remove this type of tumor because it was causing problems with their urinary system or other organs.

What are Urachal remnants?

A urachal remnant is a rare congenital disorder (a condition that’s present at birth) which may go undiagnosed unless there are symptoms. Symptoms can be nonspecific such as abdominal pain or urinary tract infection.

What is the difference between the allantois and Urachus?

In placental mammals, the allantois is part of and forms an axis for the development of the umbilical cord. The embryonic allantois becomes the fetal urachus, which connects the fetal bladder (developed from cloaca) to the yolk sac. The urachus removes nitrogenous waste from the fetal bladder.

How is urachal sinus treated?

Urachal cyst treatment depends on the presence of complications or associated conditions. Noninfected urachal sinus are usually removed in a single-step radical excision of the remnant which removes the entire lesion with or without a bladder cuff via open or laparoscopic surgical approach [9].

How common are urachal anomalies?

Imaging of the Urachus: Anoma- lies, Complications, and Mimics1 Urachal anomalies are more common than previously thought, with more cases discovered incidentally, because of the increased use of cross-sectional imaging. Although an abnormal persistence of an

What are the treatment options for congenital urachal anomalies?

Congenital urachal anomalies that are detected early can benefit from an optimized management including surgical approach with a complete resec- tion of the urachal remnant in cases when spontaneous resolution or medical management has failed. At imaging, the different types of urachal anomalies have a distinct appearance. A patent urachus

Can urachal remnants mimic abdominal diseases?

Urachal remnants, when symptomatic, can mimic numerous abdominal and pelvic diseases that may be clinically indistinguishable due to the nonspecific symptoms that urachal anomalies are often associated with. In addition, other entities can also mimic urachal anomalies at radiologic evaluation .

What are Urachal cysts and how are they visualized?

Urachal cysts are visualized as midline fluid-filled sacs most frequently located near the bladder dome. Complications of urachal anomalies have nonspecific clinical findings and can mimic other abdominal and pelvic processes. Potential complications, such as infection and tu- mors, should be recognized early to ensure optimal management.