Advertisement

Prolapsed urachal sinus with pyourachus in an infant

  • Victoria Lane
    Affiliations
    Department of Paediatric Surgery, Children's Hospital, University Hospitals of Hull and East Yorkshire NHS Trust, Hull Royal Infirmary, HU3 2JZ Hull, UK
    Search for articles by this author
  • Ramnik Patel
    Affiliations
    Department of Paediatric Surgery, Children's Hospital, University Hospitals of Hull and East Yorkshire NHS Trust, Hull Royal Infirmary, HU3 2JZ Hull, UK
    Search for articles by this author
  • Rejoo D. Daniel
    Correspondence
    Corresponding author. Tel.: +44-1482675650; fax: +44-1482674687; +44-7 Mobile.
    Affiliations
    Department of Paediatric Surgery, Children's Hospital, University Hospitals of Hull and East Yorkshire NHS Trust, Hull Royal Infirmary, HU3 2JZ Hull, UK
    Search for articles by this author

      Abstract

      We report an infant who presented with a discharging single-lumen, tubular, and mucosa-lined umbilical mass and a large central abdominal mass, inferior to the umbilicus. At operation, the mass was discovered to be a prolapsed, open, and inflamed urachal sinus leading to a pyourachus. Primary total excision from dome of the bladder to the umbilicus led to smooth recovery with excellent results.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Pediatric Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Tsai M.S.
        • Yeh M.L.
        Patent urachus.
        N Engl J Med. 2011; 365: 1328
        • Yeats M.
        • Pinch L.
        Patent urachus with bladder eversion.
        J Pediatr Surg. 2003; 38: E56
        • Dorai T.
        Umbilical evagination of the bladder with omphalacele minor.
        Pediatr Surg Int. 2000; 16: 128-129
        • Grinda A.
        • Valla J.S.
        • et al.
        Evagination Ombilicale de la Vessie Chez un Nouveau-ne.
        Chir Pediatr. 1987; 28: 112-114
        • Persutte W.H.
        • Lenke R.R.
        Disappearing fetal umbilical cord masses. Are these findings suggestive of urachal anomalies?.
        J Ultrasound Med. 1990; 9: 547-551
        • McCollum M.O.
        • MacNeily A.E.
        • Blair G.K.
        Surgical implications of urachal remnants: presentation and management.
        J Pediatr Surg. 2003; 38: 798-803
        • Cartwright P.C.
        • Snow B.W.
        • Wallis M.C.
        Bladder and urethra.
        in: Ashcraft K.W. Holcomb III, G.W. Murphy J.P. Pediatric surgery. 5th ed. Elsevier Saunders, Philadelphia, PA2010: 731-743