Large pseudocyst of the umbilical cord associated with patent urachus

Kılıçdağ, Esra Bulgan; Kılıçdağ, Hasan; Bağış, Tayfun; Tarım, Ebru; Yanık, Filiz Bilgin

doi:10.1111/j.1447-0756.2004.00228.x

Cited by 28 publications

(21 citation statements)

References 16 publications

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“…Urachus cysts are usually isolated and associated with a good prognosis after surgical repair [4,5] . Rarely reported in literature, they can be associated with omphalocele [6] , genitourinary malformations (unilateral kidney, solitary crossed renal ectopia, hydronephrosis, hypospadia and vaginal atresia) [7,8] or fused umbilical arteries [9] , and they can appear as part of prune belly syndrome [10] .…”

Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis of a Patent Urachus Cyst with the Use of 2D, 3D, 4D Ultrasound and Fetal Magnetic Resonance Imaging

Fuchs¹,

Picone²,

Levaillant³

et al. 2008

Fetal Diagn Ther

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Patent urachus cyst is a rare umbilical anomaly, which is poorly detected prenatally and frequently confounded with pseudo bladder exstrophy or omphalocele. A 27-year-old woman was referred to our prenatal diagnosis centre at 18 weeks of gestation after diagnosis of a megabladder and 2 umbilical cord cysts. Subsequent 2D, 3D and 4D ultrasound examinations and fetal magnetic resonance imaging (MRI) revealed a typical umbilical cyst and an extra-abdominal cyst, communicating with the vertex of the fetal bladder through a small channel that increased in size when the fetus voided urine. Termination of pregnancy occured at 31 weeks because of associated cerebral septal agenesis, and autopsy confirmed the prenatal diagnosis of urachus cyst. Few cases of urachus cyst diagnosed prenatally are reported in literature, but none were associated with other extra-abdominal disorders and none used 3D, 4D and fetal MRI. Our case illustrated the efficiency in prenatal diagnosis of 3D and 4D ultrasound examinations. This could help pediatrician surgeons to explain to a couple about neonatal surgical repair and plastic reconstruction in the prenatal period.

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Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis of a Patent Urachus Cyst with the Use of 2D, 3D, 4D Ultrasound and Fetal Magnetic Resonance Imaging

Fuchs¹,

Picone²,

Levaillant³

et al. 2008

Fetal Diagn Ther

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“…The surgical programming can be performed in a timely manner, depending on the severity of the case [10].…”

Section: Discussionmentioning

confidence: 99%

Umbilical Discharge in Pregnant Women With Patent Urachus: A Case Report

Lima¹,

Quinco²,

Silva³

et al. 2017

J Med Cases

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The urachus is a vestigial anatomic structure. Its incomplete obliteration results in different urachal abnormalities. Among these, the patent urachus is one of the rarest, with clinical common umbilical discharge in newborns. The urachal remnants commonly present complications, the most common in adults and most feared is the malignant transformation. This paper presents a case of symptomatic pregnant women with late diagnosis of the patent urachus.

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“…It is important that cord edema is associated with a patent urachus [21,22] . In our case, an enlargement of the umbilical cord was observed first at 28 weeks after the first recognition of cord cysts at 17 weeks.…”

Section: Discussionmentioning

confidence: 99%

Umbilical Cord Cysts of Allantoic and Omphalomesenteric Remnants with Progressive Umbilical Cord Edema: A Case Report

Kita¹,

Kikuchi²,

Miyashita

et al. 2009

Fetal Diagn Ther

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We present a unique case of umbilical cord cysts of allantoic and omphalomesenteric remnants with progressive cord edema during pregnancy. Enlargement of the umbilical cord was observed initially at 28 weeks’ gestation; the cord cysts were first recognized at 17 weeks. At 37 weeks, a cesarean section was performed and a male infant weighing 2,300 g was delivered. The entire length of the umbilical cord was 80 cm; the 50-cm proximal portion was strikingly edematous and was 7 cm in diameter. On the 1st day of life, operative exploration was undertaken via an infraumbilical incision. It was evident that a patent urachus protruded from the bladder. The lesion was excised and the bladder was closed in a two-layer anastomosis. Histologically, the intestinal epithelium was connected to the transitional epithelium at the top of the urachus, indicating allantoic remnants fused with omphalomesenteric remnants. Such a case has not been reported previously. It was considered that the overflow of urine from allantoic remnants to omphalomesenteric remnants caused the extraordinary edema of the umbilical matrix. Based on our experience, finding progressive umbilical cord edema may indicate a patent urachus co-existing with allantoic and omphalomesenteric remnants.

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Large pseudocyst of the umbilical cord associated with patent urachus

Cited by 28 publications

References 16 publications

Prenatal Diagnosis of a Patent Urachus Cyst with the Use of 2D, 3D, 4D Ultrasound and Fetal Magnetic Resonance Imaging

Prenatal Diagnosis of a Patent Urachus Cyst with the Use of 2D, 3D, 4D Ultrasound and Fetal Magnetic Resonance Imaging

Umbilical Discharge in Pregnant Women With Patent Urachus: A Case Report

Umbilical Cord Cysts of Allantoic and Omphalomesenteric Remnants with Progressive Umbilical Cord Edema: A Case Report

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