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Re: Urachal Cyst?From: DuboseTerryJ@uams.eduThu Nov 16 08:00:12 2000
Dear Ms. Paulson, Ultrasound@OBGYN.net <mailto:Ultrasound@OBGYN.net> is only for medical professionals to discuss the use of sonography in women's health. A better place for your question is the public forum Womens-Health@OBGYN.net <mailto:Womens-Health@OBGYN.net> . Your questions do not relate directly to the imaging process... you already have that answer. Your question will receive better answers on Women's Heath forum, and others seeking similar information will also be assisted by the discussion. I am forwarding your question to that Forum, please go there to find other responses to your questions: http://forums.obgyn.net/womens-health/ <http://forums.obgyn.net/womens-health/> I will do a Medline search and attache the results to the bottom of this message. Thank you for your interest, and good luck. Terry J. DuBose, M.S., RDMS, Assistant Professor Director, Diagnostic Medical Sonography Program CHRP, University of Arkansas for Medical Sciences Little Rock, Arkansas, USA 501-686-6510 http://www.io.com/~dubose/ <http://www.io.com/~dubose/> http://www.uams.edu/CHRP/dmshome.htm <http://www.uams.edu/CHRP/dmshome.htm> http://www.obgyn.net/us/panel/panel.htm <http://www.obgyn.net/us/panel/panel.htm> -----Original Message----- From: Creative Partnerships Unlimited [mailto:cpu@prtel.com] Sent: Wednesday, November 15, 2000 5:47 PM To: Multiple recipients of list ULTRASOUND Subject: Urachal Cyst? I just found today that my daughter (age16) has a urachal cyst. Hers extends from her naval down to her bladder, about 4x6 in size. She discovered it herself, and a cat scan determined it was this type of cyst. We were told it was caused by a fetal remnant that normally turns to scar tissue and doesn't present any further problems. My daughters, however, began to grow and filled with fluid, and will require surgery to remove it. I'm looking for more information on this type of urachal cyst. The one in the images on your website, seem to be related to pregnancy. Is there a place I can gain more information? Thank you. Mary Paulson [TJDuB] Forwarded to you from Aries Systems Corporation <KWEB-SERVER> at the request of * ELECOMM CORPORATION <DuBose@io.com[WEBMASTER@MEDISPECIALTY.COM]> UI - 20480594 TI - Relevance of infection in children with urachal cysts. [In Process Citation] SO - Eur Urol 2000 Oct;38(4):457-460 TA - Eur Urol VI - 38 IP - 4 PG - 457-460 DP - 2000 AU - Pesce C AU - Costa L AU - Musi L AU - Campobasso P AU - Zimbardo L AD - Division of Pediatric Surgery, Section of Urology, S. Bortolo Hospital, Vicenza, Italy. AB - OBJECTIVE: To assess the role of infection in the management of children with urachal cysts. METHODS: A retrospective study on 10 children with urachal cysts operated on over an 11-year period (from 1987 to 1998) was performed. Uncomplicated urachal cysts were found in 2 children who underwent primary cyst removal. The remaining 8 were admitted with severe sepsis due to the presence of a urachal abscess; they were managed by a staged approach including percutaneous drainage and delayed cyst removal. The diagnosis of urachal cyst was readily made by ultrasound in all the 10 patients (100%). In 1 patient with urachal abscess, computed tomography provided additional information. RESULTS: The postoperative course was uneventful in 9 of 10 children (90%). A 5-year-old female patient developed peritonitis following urachal abscess rupture into the peritoneal cavity, which resulted in additional surgery and prolonged hospitalization. CONCLUSIONS: (1) Ultrasound is an excellent ! diagnostic tool for patients with urachal cysts. (2) A renal screening ultrasound must be included in the preoperative work-up. (3) A thorough urological assessment is indicated in patients with abnormal renal ultrasound of recurrent urinary infections. (4) At present, a staged surgical procedure still remains the most effective surgical option in children with urachal cyst. IS - 0302-2838 LA - English PT - MEDLINE RECORD IN PROCESS UI - 98136921 TI - Acute abdominal pain secondary to a urachal cyst abscess. SO - J Am Osteopath Assoc 1998 Jan;98(1):51-2 TA - J Am Osteopath Assoc VI - 98 IP - 1 PG - 51-2 DP - 1998 AU - Walton B AD - Department of Family Medicine, University of Mississippi School of Medicine, Tupelo 38801, USA. brwalton@nmhs.net. AB - Primary care physicians often see patients with complaints of acute abdominal pain. The differential diagnosis for the acute abdomen is complex and requires not only precise clinical skills but also a high index of suspicion for a specific disease state. Uncommon disorders must be considered when the signs and symptoms observed are unusual or the pathologic entity suspected is not found on diagnostic workup or during surgery. A urachal cyst abscess, although rare, may have the signs and symptoms of an acute abdomen. IS - 0098-6151 MJ - Abdomen, Acute [etiology] MJ - Abdominal Abscess [diagnosis] MJ - Urachal Cyst [diagnosis] MN - Abdominal Abscess [complications] [surgery] MN - Adolescence MN - Laparotomy MN - Rupture, Spontaneous MN - Urachal Cyst [complications] [surgery] MT - Case Report; Human; Male LA - English PT - JOURNAL ARTICLE EM - 199805 UI - 98106354 TI - Persistent patent urachus with allantoic cyst: a case report. SO - Ultrasound Obstet Gynecol 1997 Nov;10(5):366-8 TA - Ultrasound Obstet Gynecol VI - 10 IP - 5 PG - 366-8 DP - 1997 AU - Tolaymat LL AU - Maher JE AU - Kleinman GE AU - Stalnaker R AU - Kea K AU - Walker A AD - Department of Obstetrics and Gynecology, University of Florida, Pensacola 32503, USA. AB - Patent urachus results when there is a persistence of an allantois remnant which normally undergoes atresia during embryological development. It can lead to an abdominal wall defect similar in appearance on ultrasound to an omphalocele. A 34-year-old primigravida presented at 19 weeks' gestation for evaluation of a cystic mass arising at the umbilical cord insertion. The initial impression of the referring physician was an omphalocele. The mass arose from the abdominal wall and the umbilical cord inserted into the membranous covering of the mass, which appeared to be fluid-filled and separate from but contiguous with the urinary bladder. Serial sonography followed the progression of the abdominal wall mass. At term, the patient underwent primary Cesarean section with delivery of a 4494-g male infant. The infant underwent repair and closure of the patent urachus and plastic reconstruction of the abdominal wall. When the urachus remains patent, it can lead to a urinary fis! tula which mimics the ultrasound appearance of an omphalocele. However, patent urachus is associated with a much lower rate of abnormalities than omphalocele, yielding a better fetal prognosis. IS - 0960-7692 MJ - Fetal Diseases [ultrasonography] MJ - Ultrasonography, Prenatal MJ - Urachal Cyst [complications] [ultrasonography] MJ - Urachus [abnormalities] [ultrasonography] MN - Adult MN - Pregnancy MN - Ultrasonography, Doppler, Color MT - Case Report; Female; Human; Male LA - English PT - JOURNAL ARTICLE EM - 199804 UI - 97402826 TI - Ten years of experience with isolated urachal anomalies in children. SO - J Urol 1997 Sep;158(3 Pt 2):1316-8 TA - J Urol VI - 158 IP - 3 Pt 2 PG - 1316-8 DP - 1997 AU - Mesrobian HG AU - Zacharias A AU - Balcom AH AU - Cohen RD AD - Division of Pediatric Urology, Children's Hospital, Milwaukee, Wisconsin, USA. AB - PURPOSE: The embryological and anatomical features of urachal anomalies have been well defined. Because of the variable clinical presentation, uniform guidelines for evaluation and treatment are lacking. In an attempt to establish a cost-effective approach leading to a favorable outcome, we reviewed the experience with urachal anomalies at a single institution in a 10-year period. MATERIALS AND METHODS: We reviewed the medical records and radiological studies of 12 boys and 9 girls newborn to 17 years old at presentation who were treated for a urachal anomaly. Diagnostic evaluation included voiding cystourethrography in 14 cases, ultrasound in 8, sinography in 7 and computerized tomography in 4. RESULTS: The 4 variants of urachal anomalies included a urachal sinus in 9 patients (43%), urachal cyst in 9 (43%), patent urachus in 2 (10%) and urachal diverticulum in 1 (4%). Treatment involved initial excision in 13 cases (61%) and secondary excision in 8 (39%). Staphylococcu! s aureus was the predominant organism recovered. CONCLUSIONS: Because of the variable presentation, the diagnosis of a urachal anomaly can be difficult. Our experience suggests that a cost-effective diagnostic approach can be developed based on the initial clinical evaluation. Whereas ultrasound is indicated when a urachal cyst or abscess is suspected on the initial study, sinography is the study of choice in the remainder of cases. A voiding cystourethrogram may not be required in view of the fact that none of the patients studied had an additional associated urinary tract anomaly. IS - 0022-5347 MJ - Urachal Cyst MJ - Urachus [abnormalities] MN - Adolescence MN - Child, Preschool MN - Child MN - Follow-Up Studies MN - Infant, Newborn MN - Infant MN - Staphylococcal Infections [complications] [diagnosis] [surgery] MN - Time Factors MN - Urachal Cyst [complications] [diagnosis] [surgery] MN - Urachus [surgery] MT - Female; Human; Male LA - English PT - JOURNAL ARTICLE EM - 199711
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