Late presentation of congenital urachal sinus in a middle aged male complicated by an umbilical abscess: A case report

Mistry, Kewal; Khatri, Garvit D.; Sood, Dinesh; Sharma, Sushila; Morey, Parikshit; Sood, Saurabh; Bhesania, Siddharth; Patel, Janki B.; Patel, Sagar N.; Shukla, Anurag

doi:10.1016/j.ejrnm.2015.04.010

Cited by 7 publications

(9 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several authors suggest that systematic excision of urachal lesions which are detected during childhood should be performed in order to prevent infection or other problems in adulthood as the development of malignancy in residual remnants [2, 5, 7, 8], whereas others consider that conservative management, even in cases of infected anomalies [9, 10], results in better outcomes. For instance, Copp et al [11] state that surgery should only be performed in cases with unfavorable histology that is suggestive of malignancy, that is, cases with transitional epithelium, squamous metaplasia, intestinal metaplasia, or mixed metaplasia.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Urachal Pathology: Review of Cases

et al. 2021

View full text Add to dashboard Cite

Introduction: The urachus is an embryologic remnant which is formed from the obliteration of the allantois. Urachal abnormalities are caused when defective obliteration of the urachus happens. They are an infrequent condition. Incidence is estimated to be between 5,000 and 8,000 live births. Its diagnosis and management remain a challenge due to the lack of an specific clinical picture and the controversy about the management. Objective: The objective of this study is to assess the clinical presentation, diagnosis, therapeutic management, and outcomes of urachal anomalies in our health area. Materials and Methods: We performed a retrospective review of all cases of urachal anomalies recorded Tenerife (southern health area), La Gomera, and El Hierro Islands during a 5 year period. Results: Twenty-three cases of urachal pathology were included. The mean age of presentation was 32 years old. 73.9% were male. 65% were diagnosed in adults. In 30.3% of the cases, it was a casual finding. Symptoms included fever, umbilical exudate, hematuria, abdominal pain, and umbilical granuloma. The main diagnostic tests were ultrasound and computed tomography scan. Treatments were selected conservative management (43.5%), selective resection, partial cystectomy, and radical cystectomy. All patients had a good evolution. However, 2 cases where benign tumors were suspected, clinically, had a final histology of cancer in the specimen. Conclusions: Due to the lack of a specific clinical picture and undefined findings in image tools, diagnosis is difficult and it may be inaccurate. Despite more data are needed, our results suggest that the systematic excision of urachal lesions could result in safer outcomes since cases where a benign lesion is clinically suspected might result in malignant tumors.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Male to female ratio is 2:1. In adults, it is rare because urachal anomalies usually involute in early childhood [4, 5]. The adequate and early diagnosis of urachal pathologies is very important.…”

Section: Introductionmentioning

confidence: 99%

Urachal Pathology: Review of Cases

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Article under CC BY-NC-ND 4.0 license reused from Kewal Arunkumar Mistry, et al (2015) [3]. Um-umbilicus, Ur-urachus, U-urinary bladder, R-rectum, P-peritoneal cavity Urachal abnormalities' incidence in children is 1 in 5000 and male to female ratio 3:1.…”

Section: Figure 5: Urachal Anomalies Graphic Representation (A-d)mentioning

confidence: 99%

Infected Urachal Sinus in an Adult

Ramdani

Benelhosni

MoatassimBillah

et al. 2021

Cureus

View full text Add to dashboard Cite

Urachal anomalies are infrequent in the adult population and may represent a diagnostic challenge. Few cases of urachal sinuses are reported and are usually asymptomatic unless a complication occurs, most likely infectious. Infected urachal sinus' clinical manifestations are a purulent umbilical discharge, abdominal pain, and a periumbilical mass. We report the case of a late presentation of an infected urachal sinus in a male adult. Clinical and imaging features allowed accurate diagnosis. Antibiotic therapy was followed by the urachal remnant's surgical excision. The postoperative course was uneventful. Histological examination revealed no signs of malignancy.

show abstract

“…The Urachus or the Median umbilical ligament is a fibrous strand connecting umbilicus to bladder, it is an embryologic remnant of cloaca and allantois it can remain completely patent forming a urinary fistula to the umbilicus; or partially patent forming a sinus or a cyst. they are prone to infection and malignant change 3,4 . The acquired factor, as far known, is the insertion of hair in the umbilical skin with resultant suppuration ending in what is named Umbilical Pilonidal Sinus (UPS), In 1833, Herbert Mayo mentioned a haircontaining sinus, and in 1880 Hodge suggested the term "pilonidal" (Latin: pilus = hair and nidus = nest) 5 .…”

Section: Introductionmentioning

confidence: 99%

Pathological and therapeutic profiles of umbilical sinus

Muttosh

Saeed²,

Albanna³

2022

Adv.med.j.

View full text Add to dashboard Cite

Background and objective: Umbilical sinus develops either in an abnormal embryonal remnant of Omphalomesenteric & Urachal ducts, or secondary to hair insertion in the umbilical skin with resultant suppuration ending in what is named umbilical pilonidal sinus.This study viewed the relative distribution of these pathologic variants and results of management options adopted. Methods: All patients (n=28) suffering from umbilical sinus disease during the period of 5 years, between 1st Jan 2015 to 31st Dec 2019 are evaluated according to their pathologic types and therapeutic options. For hair sinuses, the conservative approach was initiated, its failure demanded exploration without excision. For sinuses secondary to embryonal remnants, the treatment was complete tract excision. Results: Umbilical pilonidal sinus constitutes the majority of sinuses in the umbilicus (n=26) (92.86%), suppuration in Embryonal remnants was far less common (n=2) (7.14%). The conservative management was effective in 24 (92.3%) out of 26 patients who were presented with umbilical pilonidal sinus, two patients got recurrence (7.14%), and necessitated tract exploration. Sinuses secondary to embryonal remnants (7.14%), were dealt with complete tract excision. In the results also; umbilical pilonidal sinuses were associated with young age group, (78.57% were between 21 and 30 years of age), male gender (85.71%) and overweight, (60.71%). Conclusion: The conservative approach was successful in the majority of cases, failure was mainly due to incomplete hair removal, for such cases a valid alternative was sinus exploration. Sinus tract excisions were spared for sinuses secondary to Omphalomesenteric & Urachal sinuses.

show abstract

Late presentation of congenital urachal sinus in a middle aged male complicated by an umbilical abscess: A case report

Cited by 7 publications

References 9 publications

Urachal Pathology: Review of Cases

Urachal Pathology: Review of Cases

Infected Urachal Sinus in an Adult

Pathological and therapeutic profiles of umbilical sinus

Contact Info

Product

Resources

About