Background: Urachal anomalies rarely present in adulthood. We report the second known case of urachal-sigmoid fistula associated with diverticular disease.
Method: We performed a case report and literature review. We searched MEDLINE and PubMed using the search words "urachus," "urachal fistula," "sigmoid colon" and "diverticulosis."
Results: Our literature review revealed 1 previous report of urachal-sigmoid fistula associated with diverticular disease. We reviewed other publications with respect to pathophysiology, diagnosis and management of urachal disease.
Conclusion: Urachal disease that presents in an adult is usually the result of some complication of a urachal anomaly. Various modes of imaging may help confirm the diagnosis, although CT sinography has been recommended and was key in the present case. Management includes eradication of infection and, usually, surgical intervention.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2422915 | PMC |
Publication Analysis
Top Keywords
Similar Publications
Urachal-sigmoid fistula managed by laparoscopic assisted high anterior resection, primary anastomosis and en bloc resection of the urachal cyst and involved bladder.
Asian J Endosc Surg
August 2016
Department of General Surgery, The Queen Elizabeth II Jubilee Hospital, Brisbane, Queensland, Australia.
Sigmoid-urachal fistula is exceedingly rare in adults and only a few cases have been reported in the world literature. We present the case of a 54-year-old man with symptomatic sigmoid-urachal fistula managed successfully with a laparoscopic assisted high anterior resection, primary anastomosis and an en bloc resection of the urachal cyst and the involved cuff of bladder.
View Article and Find Full Text PDFUrachal-sigmoid fistula associated with diverticular disease.
Can Urol Assoc J
March 2007
Department of Urologic Sciences, University of British Columbia, Vancouver, BC.
Background: Urachal anomalies rarely present in adulthood. We report the second known case of urachal-sigmoid fistula associated with diverticular disease.
Method: We performed a case report and literature review.
Urachal-sigmoid fistula in an adult male without urachal cyst.
Rev Esp Enferm Dig
July 2002
General Surgery and Digestive Services, Hospital Comarcal Infanta Margarita, Cabra, Córdoba, Spain.
Urachal anomalies are uncommon defects arising either by incomplete obliteration of the urachus during the foetal period or by its reopening after postnatal regression. Five anomalies have been described: congenital patent urachus, urachal cyst, umbilical-urachal sinus, vesico-urachal diverticulum, and alternating sinus. Only congenital patent urachus is present at childbirth.
View Article and Find Full Text PDFUrachal-sigmoid fistula in an adult male.
Am Surg
August 1998
Department of General Surgery, Blodgett-St. Mary's Hospitals, Grand Rapids, Michigan, USA.
Urachal cysts are unusual anomalies resulting from incomplete closure of the urachus. They comprise 38 per cent of urachal abnormalities. They present commonly in childhood, and there are only 20 reported cases of urachal cysts presenting in a person over the age of 40.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!