Neoplasia de úraco: relato de caso

Cruz, Célio Lúcio Palha da; Fernandes, Gabriel; Natal, Marcelo Ricardo Canuto; Taveira, Thales Roberto Teixeira; Bicalho, Patrícia Amaral; Brito, Yanna Quitéria Iida Pimentel de

doi:10.1590/0100-3984.2013.1879

Cited by 5 publications

(13 citation statements)

References 5 publications

(19 reference statements)

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“…Imaging studies play an important role in the evaluation of diseases of the digestive system, as has been demonstrated in several recent studies conducted in Brazil (7-15) . In the present study, the majority of patients undergoing defecography were female and were between 18 and 82 years of age.…”

Section: Discussionmentioning

confidence: 97%

Defecography by digital radiography: experience in clinical practice

et al. 2016

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ObjectiveThe objective of this study was to profile patients who undergo defecography, by age and gender, as well as to describe the main imaging and diagnostic findings in this population.Materials and MethodsThis was a retrospective, descriptive study of 39 patients, conducted between January 2012 and February 2014. The patients were evaluated in terms of age, gender, and diagnosis. They were stratified by age, and continuous variables are expressed as mean ± standard deviation. All possible quantitative defecography variables were evaluated, including rectal evacuation, perineal descent, and measures of the anal canal.ResultsThe majority (95%) of the patients were female. Patient ages ranged from 18 to 82 years (mean age, 52 ± 13 years): 10 patients were under 40 years of age; 18 were between 40 and 60 years of age; and 11 were over 60 years of age. All 39 of the patients evaluated had abnormal radiological findings. The most prevalent diagnoses were rectocele (in 77%) and enterocele (in 38%). Less prevalent diagnoses were vaginal prolapse, uterine prolapse, and Meckel's diverticulum (in 2%, for all).ConclusionAlthough defecography is performed more often in women, both genders can benefit from the test. Defecography can be performed in order to detect complex disorders such as uterine and rectal prolapse, as well as to detect basic clinical conditions such as rectocele or enterocele.

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Section: Discussionmentioning

confidence: 97%

Defecography by digital radiography: experience in clinical practice

et al. 2016

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“…Urachal remnant abnormalities are uncommon in adults and are twice as likely in men than in women [ 1 – 4 ]. The incidence of congenital urachal anomalies diagnosed at or shortly after birth is reported to be less than 2 cases per 300,000 pediatric admissions [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…In addition to umbilical area pain, patients may report nonspecific symptoms such as suprapubic abdominal discomfort, hematuria, dysuria, urinary frequency, or urgency [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

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An Adult with a Remnant Urachus Anomaly Diagnosed in the Emergency Department

Lucerna

Lee

Espinosa

et al. 2018

Case Reports in Emergency Medicine

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The urachus is a midline tubular structure that stretches from the apex of the bladder and connects to the umbilicus. Urachal remnants result from incomplete regression of the fetal urachus in infancy. We report the case of a 21-year-old male who presented to the emergency department with purulent drainage from his umbilicus in association with a chronic intermittent “pulling sensation” in the umbilicus and suprapubic areas. An infected urachal remnant was diagnosed and was treated with an oral antibiotic and ultimately with outpatient excision of the remnant. Such cases are rare but have the potential to progress to sepsis. In addition, chronic inflammation can lead to neoplastic transformation (adenocarcinoma). Urachal remnant infections can be considered in adults with umbilical purulent drainage. We propose that the “pulling sensation” described may be a clue to the diagnosis in some patients in which the urachal remnant is attached to the bladder and that the sensation was due to the mechanical connection between the bladder and the umbilicus. The sensation resolved postremoval status of the remnant. This does not appear to have been previously proposed in the literature.

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“…Urachal tumor is extremely rare, responsible for about 0.17% to 0.34% of the total bladder tumors, and for about 0.01% of all cases of malignant tumors, with the subtype adenocarcinoma related to 90% of your presentations [1][2][3][4][5][6][7]. Superior diagnostic prevalence among males, age range between the fourth and fifth decades of life, treatment varies according to clinical stage and surgery is of great relevance, systemic treatment, especially chemotherapy is reserved for stages in which metastatic involvement and tumor recurrence is evidenced [1][2][3][4]. Target therapy and immunotherapy, realities in several tumor subtypes, however few associated data were found in the treatment of uracal cancer.…”

Section: Introductionmentioning

confidence: 99%

Urachal adenocarcinoma: a rare clinical presentation

Pastorello

Lando

Bueno

et al. 2021

BJCR

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Urachal tumor is extremely rare, since it is responsible for about 0.01% of all neoplasms already repeated in the history of clinical oncology, with the adenocarcinoma subtype being the most prevalent. Thus, the present work aims to report a case of a 55-year-old patient diagnosed with urachal tumor, relating the clinical presentation of the case according to current literary data. It was possible to show that such a diagnosis, as well as the institution of a standard treatment, is still a clinical challenge in modern medical practice.

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Neoplasia de úraco: relato de caso

Cited by 5 publications

References 5 publications

Defecography by digital radiography: experience in clinical practice

Defecography by digital radiography: experience in clinical practice

An Adult with a Remnant Urachus Anomaly Diagnosed in the Emergency Department

Urachal adenocarcinoma: a rare clinical presentation

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