Persistent Patent Urachus In An Adult, A Case Report At A Private Facility In Ondo City, Nigeria
DOI:
https://doi.org/10.60787/njgp.v21i1.187Keywords:
congenital anomaly, patent urachusAbstract
Patent urachus is a rare congenital condition in which the urachus, a tube that connects the bladder and the umbilicus in fetal development, does not close before birth. This results in a persistent communication or fistula between the bladder and the umbilicus, causing urine to leak from the umbilicus. The condition is usually diagnosed early in life. This case of a patent urachus in a 22 years old female is rare and of interest. The condition was managed by excision of the urachus and dome of the bladder. The author highlights the need for high index of suspicion so as not to miss the diagnosis in a adult since the condition can mimic varying nonspecific symptoms.
Downloads
References
Takano Y, Okatani K, Okamoto S, Enoki N. Congenital patent urachus in an adult: a case report. International journal of urology. 1994 Sep;1(3):275-7.
Wilmoth CL. Persistent urachus in the adult. JAMA. 1936;106:526-529
Hinman F Jr. Surgical disorders of the bladder and umbilicus of urachal origin. Surg GynecolObstet 1961;113:605-614
Parada Villavicencio C, Adam SZ, Nikolaidis P, Yaghmai V, Miller FH. Imaging of the urachus: anomalies, complications, and mimics. Radiographics. 2016 Nov;36(7):2049-63.
Fode M, Pedersen GL, Azawi N. Symptomatic urachal remnants: case series with results of a robot-assisted laparoscopic approach with primary umbilicoplasty. Scandinavian Journal of Urology. 2016 Nov 1;50(6):463-7.
Blichert-Toft M, Nielsen OV. Diseases of the urachus simulating intra-abdominal disorders. Am J Surg. 1971;122:123- 128.
Buckspan MB. Patent urachus and infected urachal cyst in an adult: A case report. Can J Surg. 1984;27:496-499.
Ward TT, Saltzman E, Chiang S. Infected urachal remnants in the adult: Case report and review. Clin Infect Dis 1993;16:26-29
Ueno T, Hashimoto H, Yokoyama H, Ito M, Kouda K, Kanamaru H. Urachal anomalies: ultrasonography and management. J Pediatr Surg. 2003;38:1203-7.
Blichert-Toft M, Nielsen OV. Congenital patent urachus and acquired variants. Diagnosis and treatment: review of the literature and report of five cases. Acta Chir Scand. 1971;137:807-14.
Renard O, Robert G, Guillot P, Pasticier G, Roche JB, Benhard JC, et al. Benign urachus abnormalities: embryology, diagnosis and treatments. Prog Urol. 2008;18(10):634-41.
Severson CR. Enhancing nurse practitioner understanding of urachal anomalies. J Am Acad Nurse Pract. 2011;23(1):2-7.
Ashley RA, Inman BA, Routh JC, Rohlinger AL, Husmann DA, Kramer SA. Urachal anomalies: a longitudinal study of urachal remnants in
children and adults. J Urol. 2007;178(4):1615-8.
Srivastava VK, Roy S, Meena RN, Khanna R. Urachal fistula in a 22-year male: a case report. International Surgery Journal. 2020 Aug 27;7(9):3102-4.
Sherman JM, Rocker J, Rakovchik E. Her belly button is leaking: a case of patent urachus. Pediatr Emerg Care. 2015;31(3):202-4.
Gleason JM, Bowlin PR, Bagli DJ, Lorenzo AJ, Hassouna T, Koyle MA, Farhat WA. A comprehensive review of pediatric urachal anomalies and predictive analysis for adult urachal adenocarcinoma. J Urol. 2015 Feb;193(2):632-6.
Amu OC, Affusim EA, Nnadozie UU, Eze BU. Development of a Leaking Urachal Fistula in A BPH Patient with Recurrent Acute Urinary Retention: A Case Report. Transformation. 2021 Oct 20;11:13.
Mrad DK, Ben RS, Zaghbib S, Oueslati A, Gharbi M, Nouira Y. Infected urachal cyst in an adult: a case report. Urology Case Reports. 2019;26:100976.
Yapo BR, Gerges B, Holland AJ. Investigation and management of suspected urachal anomalies in children. Pediatr Surg Int. 2008 May;24(5):589-92.
Berman SM, Reid RE,Tolia BM, Schweizerhof SP, Laor E, Freed SZ. Urachal remnants in adults. Urology. 1988;31:17-21
Bertozzi M, Recchia N, Di Cara G, Riccioni S, Rinaldi VE, Esposito S, Appignaniet A. Ultrasonographic diagnosis and minimally invasive treatment of a patent urachus associated with a patent omphalomesenteric duct in a newborn: a case report. Medicine (Baltim.) 2017; 96 (30):7087.
Published
Issue
Section
License
Copyright (c) 2024 Nigerian Journal of General Practice
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
How to Cite
