Urachal diverticulum: Difference between revisions
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{{Infobox medical condition | |||
| name = Urachal diverticulum | |||
| synonyms = | |||
| image = | |||
| caption = | |||
| field = [[Urology]] | |||
| symptoms = Often asymptomatic, [[urinary tract infection]], [[abdominal pain]] | |||
| complications = [[Infection]], [[urachal cyst]], [[urachal sinus]], [[urachal cancer]] | |||
| onset = Congenital | |||
| duration = Lifelong unless treated | |||
| causes = Failure of the [[urachus]] to close completely | |||
| risks = | |||
| diagnosis = [[Ultrasound]], [[CT scan]], [[MRI]] | |||
| differential = [[Bladder diverticulum]], [[Meckel's diverticulum]], [[Patent urachus]] | |||
| prevention = None | |||
| treatment = [[Surgical resection]] | |||
| medication = [[Antibiotics]] for infection | |||
| prognosis = Good with treatment | |||
| frequency = Rare | |||
}} | |||
'''Urachal diverticulum''' is a rare congenital anomaly that occurs in the [[urachus]], a structure that connects the [[bladder]] to the [[umbilicus]] (navel) during fetal development. This condition is characterized by a small pouch or sac-like protrusion in the urachus, which typically should close and become a ligament after birth. | '''Urachal diverticulum''' is a rare congenital anomaly that occurs in the [[urachus]], a structure that connects the [[bladder]] to the [[umbilicus]] (navel) during fetal development. This condition is characterized by a small pouch or sac-like protrusion in the urachus, which typically should close and become a ligament after birth. | ||
== Anatomy == | == Anatomy == | ||
The [[urachus]] is a midline tubular structure that extends from the [[bladder]] apex to the [[umbilicus]]. It is a remnant of the allantois, a canal that drains the urinary bladder of the fetus that joins and runs within the umbilical cord. The urachus is usually obliterated during fetal development, transforming into a fibrous cord known as the median umbilical ligament. However, in some cases, this process does not occur completely, leading to urachal anomalies such as urachal diverticulum. | The [[urachus]] is a midline tubular structure that extends from the [[bladder]] apex to the [[umbilicus]]. It is a remnant of the allantois, a canal that drains the urinary bladder of the fetus that joins and runs within the umbilical cord. The urachus is usually obliterated during fetal development, transforming into a fibrous cord known as the median umbilical ligament. However, in some cases, this process does not occur completely, leading to urachal anomalies such as urachal diverticulum. | ||
== Pathophysiology == | == Pathophysiology == | ||
In a urachal diverticulum, a portion of the urachus remains open, forming a pouch that is connected to the bladder. This can lead to complications such as recurrent urinary tract infections, bladder stones, and in rare cases, urachal cancer. | In a urachal diverticulum, a portion of the urachus remains open, forming a pouch that is connected to the bladder. This can lead to complications such as recurrent urinary tract infections, bladder stones, and in rare cases, urachal cancer. | ||
== Diagnosis == | == Diagnosis == | ||
Diagnosis of urachal diverticulum can be challenging due to its rarity and non-specific symptoms. It is often discovered incidentally during imaging studies for other conditions. [[Ultrasound]], [[computed tomography (CT) scan]], and [[magnetic resonance imaging (MRI)]] are commonly used imaging modalities. | Diagnosis of urachal diverticulum can be challenging due to its rarity and non-specific symptoms. It is often discovered incidentally during imaging studies for other conditions. [[Ultrasound]], [[computed tomography (CT) scan]], and [[magnetic resonance imaging (MRI)]] are commonly used imaging modalities. | ||
== Treatment == | == Treatment == | ||
The treatment for urachal diverticulum is usually surgical, involving the complete excision of the urachal remnant to prevent complications. This can be performed using open surgery or minimally invasive techniques such as laparoscopy. | The treatment for urachal diverticulum is usually surgical, involving the complete excision of the urachal remnant to prevent complications. This can be performed using open surgery or minimally invasive techniques such as laparoscopy. | ||
== See also == | == See also == | ||
* [[Urachal cyst]] | * [[Urachal cyst]] | ||
* [[Urachal cancer]] | * [[Urachal cancer]] | ||
* [[Urinary bladder]] | * [[Urinary bladder]] | ||
[[Category:Congenital disorders of urinary system]] | [[Category:Congenital disorders of urinary system]] | ||
[[Category:Medical terminology]] | [[Category:Medical terminology]] | ||
[[Category:Anatomy]] | [[Category:Anatomy]] | ||
{{Medicine-stub}} | {{Medicine-stub}} | ||
{{No image}} | {{No image}} | ||
Latest revision as of 03:49, 4 April 2025
| Urachal diverticulum | |
|---|---|
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Often asymptomatic, urinary tract infection, abdominal pain |
| Complications | Infection, urachal cyst, urachal sinus, urachal cancer |
| Onset | Congenital |
| Duration | Lifelong unless treated |
| Types | N/A |
| Causes | Failure of the urachus to close completely |
| Risks | |
| Diagnosis | Ultrasound, CT scan, MRI |
| Differential diagnosis | Bladder diverticulum, Meckel's diverticulum, Patent urachus |
| Prevention | None |
| Treatment | Surgical resection |
| Medication | Antibiotics for infection |
| Prognosis | Good with treatment |
| Frequency | Rare |
| Deaths | N/A |
Urachal diverticulum is a rare congenital anomaly that occurs in the urachus, a structure that connects the bladder to the umbilicus (navel) during fetal development. This condition is characterized by a small pouch or sac-like protrusion in the urachus, which typically should close and become a ligament after birth.
Anatomy[edit]
The urachus is a midline tubular structure that extends from the bladder apex to the umbilicus. It is a remnant of the allantois, a canal that drains the urinary bladder of the fetus that joins and runs within the umbilical cord. The urachus is usually obliterated during fetal development, transforming into a fibrous cord known as the median umbilical ligament. However, in some cases, this process does not occur completely, leading to urachal anomalies such as urachal diverticulum.
Pathophysiology[edit]
In a urachal diverticulum, a portion of the urachus remains open, forming a pouch that is connected to the bladder. This can lead to complications such as recurrent urinary tract infections, bladder stones, and in rare cases, urachal cancer.
Diagnosis[edit]
Diagnosis of urachal diverticulum can be challenging due to its rarity and non-specific symptoms. It is often discovered incidentally during imaging studies for other conditions. Ultrasound, computed tomography (CT) scan, and magnetic resonance imaging (MRI) are commonly used imaging modalities.
Treatment[edit]
The treatment for urachal diverticulum is usually surgical, involving the complete excision of the urachal remnant to prevent complications. This can be performed using open surgery or minimally invasive techniques such as laparoscopy.
