Urachal anomalies in children: A single center experience

Youn Joung Choi, Jong Min Kim, Sun Young Ahn, Jung Tak Oh, Sang Won Han, Jae Seung Lee

Research output: Contribution to journalArticle

33 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)782-786
Number of pages5
JournalYonsei medical journal
Volume47
Issue number6
DOIs
Publication statusPublished - 2006 Dec

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Fingerprint Dive into the research topics of 'Urachal anomalies in children: A single center experience'. Together they form a unique fingerprint.

  • Cite this

    Choi, Y. J., Kim, J. M., Ahn, S. Y., Oh, J. T., Han, S. W., & Lee, J. S. (2006). Urachal anomalies in children: A single center experience. Yonsei medical journal, 47(6), 782-786. https://doi.org/10.3349/ymj.2006.47.6.782