[Urachus abnormalities in children].

ZFA (Stuttgart)

Published: February 1983

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A young, intact, female, American Bulldog was presented for hemorrhagic vaginal discharge. Anemia, thrombocytopenia, leukocytosis with neutrophilia, azotemia, and electrolyte disturbances were detected in the bloodwork. A urachal diverticulum with concurrent uterine distention was identified by ultrasonography and CT.

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Congenital urachal and urinary bladder defects leading to uroperitoneum in a neonatal quarter horse colt.

Can Vet J

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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Article Synopsis
  • The urachus is a leftover structure from fetal development that connects the bladder to the belly button, and cancers arising from it, known as primary urachal carcinoma, are rare but aggressive.
  • A case study presents a 48-year-old woman with abdominal pain and a mass, which was diagnosed as squamous cell carcinoma after imaging and biopsy.
  • Treatment typically involves surgery to remove the tumor and surrounding tissue to reduce the chance of spreading, but guidelines are sparse due to the rarity of this type of cancer, with current protocols based on limited data.
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Objective: To investigate radiographic detection by excretory urography of morphological changes in the urinary bladder associated with urachal anomalies in calves.

Methods: Excretory urography was performed to detect morphological changes in the urinary bladder of 13 calves, of which 6 were nondysuric with swelling of umbilical region and 7 were dysuric without clinical umbilical swelling from November 2022 through April 2024.

Results: The urinary bladder was delineated in all 13 calves after excretory urography.

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Article Synopsis
  • The urachus is a fetal structure that usually becomes a fibrous cord after birth, but sometimes it doesn't fully close, leading to the formation of urachal cysts and other abnormalities.
  • These cysts are often asymptomatic and can go undetected, with infections being a major complication that may be misdiagnosed due to their subtle signs and varied symptoms.
  • The case study involves a 48-year-old man who experienced acute abdominal pain, was diagnosed with an infected urachal cyst through imaging, and successfully treated with antibiotics and surgery.
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