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Urachal anomalies in children: A single center experience

Authors
 Youn Joung Choi  ;  Jong Min Kim  ;  Sun Young Ahn  ;  Jung-tak Oh  ;  Sang Won Han  ;  Jae Seung Lee 
Citation
 YONSEI MEDICAL JOURNAL, Vol.47(6) : 782-786, 2006 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2006
MeSH
Child ; Child, Preschool ; Congenital Abnormalities/diagnosis ; Congenital Abnormalities/surgery ; Female ; Hospitals, University ; Humans ; Infant ; Infant, Newborn ; Male ; Urachal Cyst/diagnosis* ; Urachal Cyst/surgery ; Urachus/abnormalities* ; Urachus/surgery
Keywords
Urachal anomaly ; children ; ultrasonography ; surgical excision
Abstract
The objective of this study is to define optimal diagnosis and treatment strategies for patients with urachal anomalies in the pediatric age group. The medical records of 21 children who had undergone surgery for urachal anomalies at Severance Hospital, Yonsei University College of Medicine from January 1990 to April 2005 were reviewed. The subjects included 14 males and 7 females (M:F 2:1). The four types of urachal anomalies confirmed were a urachal cyst in 10 patients (47.6%), a patent urachus in 6 (28.6%), a urachal sinus in 4 (19.0%) and a urachal diverticulum in 1 (4.8%) patient. The most common presenting complaint was umbilical discharge (n = 10, 40.0%), followed by abdominal mass (n = 9, 36.0%). Urachal anomalies were diagnosed by ultrasonography in 18 patients, and 7 of them were additionally examined by computed tomography. The remaining patients were diagnosed solely by surgical exploration. Excision was performed in all patients and was supplemented by partial cystectomy in three. Umbilical discharge was the most common clinical manifestation in our patients, suggesting that ultrasonography should be performed in patients with umbilical discharge to differentiate urachal anomalies. We found the most common anomaly to be the urachal cyst, and all patients were successfully treated by surgical excision.
Files in This Item:
T200601665.pdf Download
DOI
10.3349/ymj.2006.47.6.782
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Oh, Jung Tak(오정탁)
Lee, Jae Seung(이재승)
Han, Sang Won(한상원) ORCID logo https://orcid.org/0000-0003-0941-1300
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110682
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