Urachal fistula: Difference between revisions
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{{Infobox medical condition | |||
| name = Urachal fistula | |||
| synonyms = Patent urachus | |||
| field = [[Urology]], [[Pediatrics]] | |||
| symptoms = [[Urine]] leakage from the [[umbilicus]], [[abdominal pain]], [[urinary tract infection]] | |||
| complications = [[Infection]], [[peritonitis]] | |||
| onset = [[Birth]] | |||
| duration = [[Chronic]] | |||
| causes = Failure of the [[urachus]] to close after birth | |||
| risks = [[Congenital]] anomalies | |||
| diagnosis = [[Ultrasound]], [[CT scan]], [[MRI]] | |||
| differential = [[Omphalitis]], [[Meckel's diverticulum]], [[Umbilical hernia]] | |||
| treatment = [[Surgical resection]] | |||
| medication = [[Antibiotics]] for infection | |||
| prognosis = Good with treatment | |||
| frequency = Rare | |||
}} | |||
'''Urachal fistula''' is a rare condition that occurs when the urachus, a tube that connects the bladder to the umbilical cord in fetal development, fails to close after birth. This can lead to a variety of symptoms and complications, including infection and abdominal pain. | '''Urachal fistula''' is a rare condition that occurs when the urachus, a tube that connects the bladder to the umbilical cord in fetal development, fails to close after birth. This can lead to a variety of symptoms and complications, including infection and abdominal pain. | ||
==Symptoms== | ==Symptoms== | ||
The most common symptoms of a urachal fistula include: | The most common symptoms of a urachal fistula include: | ||
* [[Abdominal pain]] | * [[Abdominal pain]] | ||
* [[Fever]] | * [[Fever]] | ||
* [[Urinary tract infection]] | * [[Urinary tract infection]] | ||
* Discharge from the umbilicus | * Discharge from the umbilicus | ||
==Causes== | ==Causes== | ||
The exact cause of a urachal fistula is unknown, but it is believed to be due to a failure of the urachus to close completely after birth. This can result in a connection between the bladder and the umbilicus, allowing urine to pass through and potentially leading to infection. | The exact cause of a urachal fistula is unknown, but it is believed to be due to a failure of the urachus to close completely after birth. This can result in a connection between the bladder and the umbilicus, allowing urine to pass through and potentially leading to infection. | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis of a urachal fistula can be challenging due to its rarity and the nonspecific nature of its symptoms. However, several diagnostic tests can be used, including: | Diagnosis of a urachal fistula can be challenging due to its rarity and the nonspecific nature of its symptoms. However, several diagnostic tests can be used, including: | ||
* [[Ultrasound]] | * [[Ultrasound]] | ||
* [[Computed tomography (CT) scan]] | * [[Computed tomography (CT) scan]] | ||
* [[Magnetic resonance imaging (MRI)]] | * [[Magnetic resonance imaging (MRI)]] | ||
* [[Cystoscopy]] | * [[Cystoscopy]] | ||
==Treatment== | ==Treatment== | ||
Treatment for a urachal fistula typically involves surgery to remove the fistula and any associated abscesses or tumors. Antibiotics may also be prescribed to treat any underlying infections. | Treatment for a urachal fistula typically involves surgery to remove the fistula and any associated abscesses or tumors. Antibiotics may also be prescribed to treat any underlying infections. | ||
==Prognosis== | ==Prognosis== | ||
With appropriate treatment, the prognosis for individuals with a urachal fistula is generally good. However, complications can occur, including recurrent infections and the development of [[urachal carcinoma]], a rare form of bladder cancer. | With appropriate treatment, the prognosis for individuals with a urachal fistula is generally good. However, complications can occur, including recurrent infections and the development of [[urachal carcinoma]], a rare form of bladder cancer. | ||
==See also== | ==See also== | ||
* [[Urachus]] | * [[Urachus]] | ||
* [[Fistula]] | * [[Fistula]] | ||
* [[Bladder]] | * [[Bladder]] | ||
==References== | ==References== | ||
<references /> | <references /> | ||
[[Category:Medical conditions]] | [[Category:Medical conditions]] | ||
[[Category:Urology]] | [[Category:Urology]] | ||
[[Category:Surgery]] | [[Category:Surgery]] | ||
{{stub}} | {{stub}} | ||
{{No image}} | {{No image}} | ||
Latest revision as of 23:17, 3 April 2025
| Urachal fistula | |
|---|---|
| Synonyms | Patent urachus |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Urine leakage from the umbilicus, abdominal pain, urinary tract infection |
| Complications | Infection, peritonitis |
| Onset | Birth |
| Duration | Chronic |
| Types | N/A |
| Causes | Failure of the urachus to close after birth |
| Risks | Congenital anomalies |
| Diagnosis | Ultrasound, CT scan, MRI |
| Differential diagnosis | Omphalitis, Meckel's diverticulum, Umbilical hernia |
| Prevention | N/A |
| Treatment | Surgical resection |
| Medication | Antibiotics for infection |
| Prognosis | Good with treatment |
| Frequency | Rare |
| Deaths | N/A |
Urachal fistula is a rare condition that occurs when the urachus, a tube that connects the bladder to the umbilical cord in fetal development, fails to close after birth. This can lead to a variety of symptoms and complications, including infection and abdominal pain.
Symptoms[edit]
The most common symptoms of a urachal fistula include:
- Abdominal pain
- Fever
- Urinary tract infection
- Discharge from the umbilicus
Causes[edit]
The exact cause of a urachal fistula is unknown, but it is believed to be due to a failure of the urachus to close completely after birth. This can result in a connection between the bladder and the umbilicus, allowing urine to pass through and potentially leading to infection.
Diagnosis[edit]
Diagnosis of a urachal fistula can be challenging due to its rarity and the nonspecific nature of its symptoms. However, several diagnostic tests can be used, including:
Treatment[edit]
Treatment for a urachal fistula typically involves surgery to remove the fistula and any associated abscesses or tumors. Antibiotics may also be prescribed to treat any underlying infections.
Prognosis[edit]
With appropriate treatment, the prognosis for individuals with a urachal fistula is generally good. However, complications can occur, including recurrent infections and the development of urachal carcinoma, a rare form of bladder cancer.
See also[edit]
References[edit]
<references />
