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Re: ?Urachal cyst?From: James S Smeltzer MD (gaperina@mindspring.com)Fri Mar 27 18:01:50 1998
At 10:17 AM 3/27/98 -0600, you wrote: >I would like to invite any of you with sonographic experience to look at >the following informal case study: Questionable urachal cyst? At the >following URL: This does look like patent urachus & this is the most likely dx by appearance. THe loops that look like bowel- do they peristalse or not? If bowel is it large bowel. What is sex? Fluid filled large bowel behind & above bladder is usually sigmoid with cloacal persistence & urine mixed c meconium, but you should see this behind bladder as well as superior to it. I suppose that urachus can have flap-valve effect c bladder connection & develop a segment that is dilated & redundant. Gut duplication c sequestered segment usually not peristaltic, but I do not imagine thaqt it attaches to umbilicus or bladder. Try to bounce it around. Meckels can be in same region. Never found one prenatally, though & not frequently cystic. Let me know what you find out! PS the intraabd calcifications outside bowel, liver & spleen are stable. Mother is now known to have active Hep C & there is a vertical transmission risk. - Will update later as pt is at term. Jim Smeltzer :-)>
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