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A Clinical Observation of Children with Urachal Anomalies
Journal of the Korean Society of Pediatric Nephrology ; : 213-221, 2005.
Artigo em Coreano | WPRIM | ID: wpr-195630
ABSTRACT

PURPOSE:

Urachal anomalies are rare but are known to develop several complications, especially infection. Moreover, uniform guidelines for management have not been presented because of the variable clinical characteristics of these anomalies. The purpose of this report is to review our experience with urachal anomalies and attempt to determine the optimal management.

METHODS:

We retrospectively reviewed the records of fourteen children with a variety of urachal anomalies who had been treated from January 1996 to June 2005 at Dong Kang General Hospital.

RESULTS:

The age distribution of the patients(mean age; 3.8 years) was six neonates, one infant, five preschool-age and two school-age children. The male to female ratio was 11. Six cases of urachal cyst, four cases of patent urachus, two cases of urachal sinus and two cases of urachal diverticulum were found. Three patients with patent urachus and one with urachal cyst had hydronephrosis. Other associated anomalies included an inguinal hernia in one patient with urachal sinus and a vesicoureteral reflux in one patient with urachal diverticulum. As a first-line diagnostic tool, high-resolution ultrasound examination was performed in thirteen cases and computed tomography in one case. Surgical excision was performed in nine patients with urachal anomaly. Five cases out of six neonatal cases experienced spontaneous improvement during a three-month follow up period. Due to frequent infection of the umbilicus, surgical excision was performed on one neonate with urachal sinus.

CONCLUSION:

All patients with urachal anomalies should undergo investigation for associated anomalies. The neonate with urachal anomalies, especially patent urachus, do not require surgical excision unless the patient has multiple episodes of recurrent infection.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Umbigo / Cisto do Úraco / Úraco / Refluxo Vesicoureteral / Estudos Retrospectivos / Seguimentos / Ultrassonografia / Divertículo / Distribuição por Idade / Hérnia Inguinal Tipo de estudo: Estudo diagnóstico / Guia de Prática Clínica / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Criança / Feminino / Humanos / Lactente / Masculino / Recém-Nascido Idioma: Coreano Revista: Journal of the Korean Society of Pediatric Nephrology Ano de publicação: 2005 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Umbigo / Cisto do Úraco / Úraco / Refluxo Vesicoureteral / Estudos Retrospectivos / Seguimentos / Ultrassonografia / Divertículo / Distribuição por Idade / Hérnia Inguinal Tipo de estudo: Estudo diagnóstico / Guia de Prática Clínica / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Criança / Feminino / Humanos / Lactente / Masculino / Recém-Nascido Idioma: Coreano Revista: Journal of the Korean Society of Pediatric Nephrology Ano de publicação: 2005 Tipo de documento: Artigo