ABSTRACT
Urachal anomalies are uncommon defects arising either by incomplete obliteration of the urachus during the foetal period or by its reopening after postnatal regression. Five anomalies have been described: congenital patent urachus, urachal cyst, umbilical-urachal sinus, vesico-urachal diverticulum, and alternating sinus. Only congenital patent urachus is present at childbirth. The other forms are usually acquired disorders. Nevertheless, they commonly appear in children, being less common in the adult. Colic-urachal fistulas are quite uncommon findings. Only three cases have been reported thus far. The aim of this study is to report the fourth case of sigmoid-urachal fistula, and the first one appearing without an urachal cyst.
Subject(s)
Colon, Sigmoid/diagnostic imaging , Colonic Diseases/diagnostic imaging , Fistula/diagnostic imaging , Urachus/diagnostic imaging , Colon, Sigmoid/abnormalities , Colon, Sigmoid/surgery , Colonic Diseases/congenital , Colonic Diseases/surgery , Fistula/congenital , Fistula/surgery , Humans , Male , Middle Aged , Radiography , Urachal Cyst/diagnostic imaging , Urachal Cyst/etiology , Urachus/abnormalities , Urachus/surgeryABSTRACT
Presentamos el caso de un paciente varón de 57 años que consultó por descarga umbilical de material fecaloideo junto con dolor e irritación periumbilical años después de haber comenzado con episodios intermitentes de neumaturia y fecaluria. Ninguna de las exploraciones complementarias realizadas aportaron información relevante para el diagnóstico. La intervención quirúrgica demostró la existencia de una fístula sigmoidouracal. Creemos de interés este caso debido a la rareza de este diagnóstico ya que sólo han sido descritos tres casos en la literatura siendo éste el único caso en que no se apreció la presencia previa de un quiste uracal (AU)
Subject(s)
Middle Aged , Male , Humans , Colon, Sigmoid , Urachal Cyst , Urachus , Colonic Diseases , FistulaSubject(s)
Hamartoma/pathology , Splenic Diseases/pathology , Adult , Female , Hamartoma/surgery , Humans , Splenectomy , Splenic Diseases/surgeryABSTRACT
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