AI Article Synopsis

  • Urachal abnormalities are rare conditions caused by the incomplete closure of the urachal canal, leading to a persistent fibrous structure.
  • The diagnosis can begin with ultrasound but is typically confirmed through computed tomography (CT).
  • Surgical excision is the recommended treatment to alleviate symptoms and prevent recurrence, as demonstrated by a 45-year-old man who had recurrent urinary tract infections and underwent laparoscopic surgery.

Article Abstract

Urachal abnormalities are infrequent pathologies characterized by the failure of obliteration of the urachal canal, resulting in a persistent fibrous cord. The initial diagnosis approach can be done with ultrasonography; however, computed tomography is considered a standard diagnostic method. The preferred method for relieving symptoms and reducing recurrence is surgical excision. This is a case of a 45-year-old man with recurrent urinary tract infections, suprapubic pain, and umbilical fetid discharge who underwent laparoscopic umbilicus-sparing excision.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11318724PMC
http://dx.doi.org/10.7759/cureus.64471DOI Listing

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Article Synopsis
  • Urachal abnormalities are rare conditions caused by the incomplete closure of the urachal canal, leading to a persistent fibrous structure.
  • The diagnosis can begin with ultrasound but is typically confirmed through computed tomography (CT).
  • Surgical excision is the recommended treatment to alleviate symptoms and prevent recurrence, as demonstrated by a 45-year-old man who had recurrent urinary tract infections and underwent laparoscopic surgery.
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The traditional surgical approach for removing a symptomatic urachal remnant is via a lower midline laparotomy and infraumbilical incision or a laparoscopic approach with umbilicoplasty. We reviewed our experience with umbilicus-sparing laparoscopic urachal remnant excision in a single-center study and evaluated its efficacy versus open approach (OA). This study was a retrospective study.

View Article and Find Full Text PDF

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