دورية أكاديمية
Urachal remnants: from embryology to clinical practice.
| العنوان: | Urachal remnants: from embryology to clinical practice. |
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| المؤلفون: | Gkalonaki I; First Department of Pediatric Surgery, Aristotle University of Thessaloniki, General Hospital 'G. Gennimatas', Thessaloniki, Greece. iongalonaki@gmail.com., Patoulias I; First Department of Pediatric Surgery, Aristotle University of Thessaloniki, General Hospital 'G. Gennimatas', Thessaloniki, Greece., Anastasakis M; First Department of Pediatric Surgery, Aristotle University of Thessaloniki, General Hospital 'G. Gennimatas', Thessaloniki, Greece., Panteli C; First Department of Pediatric Surgery, Aristotle University of Thessaloniki, General Hospital 'G. Gennimatas', Thessaloniki, Greece., Patoulias D; First Department of Internal Medicine, General Hospital 'Hippokration', Thessaloniki, Greece. |
| المصدر: | Folia medica Cracoviensia [Folia Med Cracov] 2023 Dec 30; Vol. 63 (4), pp. 81-88. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Polska Akademia Nauk Country of Publication: Poland NLM ID: 0374617 Publication Model: Print Cited Medium: Internet ISSN: 0015-5616 (Print) Linking ISSN: 00155616 NLM ISO Abbreviation: Folia Med Cracov Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Warsaw : Kraków : Polska Akademia Nauk ; Uniwersytet Jagielloński, Collegium Medicum Original Publication: Kraków : Zakład Narodowy im. Ossolińskich |
| مواضيع طبية MeSH: | Urachus*/surgery , Urachus*/abnormalities , Urachal Cyst*/surgery , Urachal Cyst*/diagnosis , Laparoscopy*/methods, Infant, Newborn ; Humans ; Child ; Ultrasonography ; Inflammation |
| مستخلص: | The urachus is a tubular structure that is apparent on the third week and connects the ventral cloaca to the yolk sac, as a progression from the allantois. Following the normal regression procedure, the urachus remains as the median umbilical ligament. Urachal remnants are present in 1.03% of paediatric patients while in 92.5% of cases represent incidental findings. Urachal anomalies are classified in four types as patent urachus (50-52%), urachal sinus (15%), urachal cyst (30%) and urachal diverticulum (3-5%). Ultrasound scan is the most commonly performed diagnostic imaging study. In case of symptomatic urachal remnants, surgical excision is indicated. Asymptomatic urachal remnants that are diagnosed at the neonatal period or early infancy should be watched up to 6 months of age, as they are likely to resolve. In persistent or symptomatic urachal remnants there is a risk of inflammation or even malignancy development, therefore we believe that there is indication for preventive surgical excision that may be performed either open or laparoscopically or by robot-assisted laparoscopy. |
| فهرسة مساهمة: | Keywords: bladder outlet obstruction; malignancy; patent urachus; urachal cyst; urachal diverticulum; urachal remnants; urachal sinus |
| تواريخ الأحداث: | Date Created: 20240405 Date Completed: 20240408 Latest Revision: 20240408 |
| رمز التحديث: | 20240408 |
| DOI: | 10.24425/fmc.2023.148760 |
| PMID: | 38578347 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0015-5616 |
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| DOI: | 10.24425/fmc.2023.148760 |