Clinical Analysis of Urachal Anomalies
Journal of the Korean Surgical Society
; : 214-217, 2006.
Article
in Ko
| WPRIM
| ID: wpr-99011
Responsible library:
WPRO
ABSTRACT
PURPOSE: Although relatively rare, urachal remnants manifest as a large number of diverse disorders, which can lead to a high misdiagnosis rate. Because of the many clini-cal pre-sentations, there are no uniform guidelines for the evaluation and treatment of urachal remnants. We report our experi-ence with urachal anomalies in an attempt to establish an optimal diagnostic and treatment modality. METHODS: Fifteen patients (6 males and 9 females), who had undergone surgery for urachal anomalies from December 1988 to July 2004, were analyzed retrospectively. RESULTS: The patients' age ranged from 1 day to 71 years old. The 3 variants of urachal anomalies included a patent urachus in 1 patients (7%), urachal sinus in 5 (33%), and an urachal cyst in 9 (60%). The presenting complaint was a low abdominal mass in 6 patients, abdominal pain in 5, periumbilical discharge in 3, fever in 3, and periumbilical urination in 2. Four combined anomalies were observed in 4 patients. The diagnostic evaluation included fistulography in 3 cases, sonography in 12, and CT in 3. Excision was performed in 12 patients. CONCLUSION: Urachal anomalies most often present in infancy, and can be diagnosed and treated with certainty if a good physical examination and proper imaging studies are performed. Surgical excision is the treatment of choice for urachal anomalies.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Physical Examination
/
Urachal Cyst
/
Urachus
/
Urination
/
Abdominal Pain
/
Retrospective Studies
/
Diagnostic Errors
/
Fever
Type of study:
Diagnostic_studies
/
Guideline
/
Observational_studies
Limits:
Aged
/
Humans
/
Male
Language:
Ko
Journal:
Journal of the Korean Surgical Society
Year:
2006
Type:
Article