Objective: To evaluate the development of the normal urachus during the fetal period.
Methods: The study was carried out on 149 human fetuses (male 87, female 62) aged between 9-40 weeks, obtained with families' consent from Isparta Maternity and Children's Hospital, Isparta, Turkey, between 1997 and 2002. The study was carried out in the Department of Anatomy, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey during 2004. The type of the urachus was assessed and was classified. The length, antero-posterior depth, and the transverse width of the urachus were measured. Finally, the relationship between the urachus and umbilical arteries was evaluated during the fetal period, whether they ran parallel to each other.
Results: Two types of urachus were observed: the inverted funnel (84%) and tubular (16%). The length, depth, and width of the urachus increased with gestational ages in all cases. A 2% variation was observed in the neighborhood between urachus and umbilical artery.
Conclusion: Comparing our results with previous studies, the development of the urachus can be different in neonates and children. The mean urachus length was 14.8 -/+ 7.7mm during this period. The inverted funnel type is the most common type in our study. Hence, there can be some differences in the relationship between the urachus and umbilical arteries. The data obtained in the present study can be used as base knowledge related to the development of the urachus, and for evaluating the urachus in utero pediatric urology, radiology, pediatric surgery, and fetopathology.
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Asian J Endosc Surg
January 2025
Department of Surgery, Nishichita General Hospital, Tokai, Aichi, Japan.
Fistulization involving both the sigmoid colon and urachus is exceedingly rare. While previous cases have often necessitated laparotomy due to the involvement of multiple organs, only one instance of successful laparoscopic surgery has been reported. Here, we present the second documented case of laparoscopic resection of a sigmoid-urachal fistula.
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Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.
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January 2025
Department of Surgery, Aga Khan Hospital, P.O. Box 2289, Dar Es Salaam, Tanzania; Department of Surgery, Aga Khan University, P.O. Box 38129, Dar Es Salaam, Tanzania.
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Department of Urology Surgery, The Second Affiliated Hospital of Kunming Medical University, No.374 Dian Myanmar Avenue, Kunming, 650101, China. Electronic address:
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November 2024
Pilchuck Veterinary Hospital, Snohomish, Washington, USA (Karam); Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts, USA (Arndt); Department of Surgical and Radiological Sciences (Magdesian) and Department of Medicine and Epidemiology (Dechant), School of Veterinary Medicine, University of California, Davis, California, USA; Equine Medical Center of Ocala, Ocala, Florida, USA (Cullen).
A newborn (5 h old) quarter horse colt was presented because of lethargy and severe abdominal distention. Uroperitoneum was suspected during initial workup, based on sonographic imaging and peritoneal fluid analysis. Definitive diagnosis was confirmed during exploratory celiotomy.
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