Urachal fistula
| 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]
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