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Urachal diverticulum

MedGen UID:
609128
•Concept ID:
C0431743
•
Congenital Abnormality
Synonyms: Urachal Diverticulum; urachal diverticulum; Vesicourachal diverticulum
SNOMED CT: Urachal diverticulum (253899000)
Modes of inheritance:
Not genetically inherited
MedGen UID:
988794
•Concept ID:
CN307044
•
Finding
Source: Orphanet
clinical entity without genetic inheritance.
See: This record
Not genetically inherited (Orphanet)
 
Monarch Initiative: MONDO:0018553
Orphanet: ORPHA431347

Definition

Urachal diverticulum is the rarest type of congenital urachal anomaly (see this term) resulting from the failure of the distal urachus to close at its point of connectivity to the bladder that is usually asymptomatic but can be associated with recurrent urinary tract infections and other complications. [from ORDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVUrachal diverticulum

Professional guidelines

PubMed

Current management of the urachal anomalies (UA). Lessons learned from the clinical practice.
Perez D, Neeman B, Kocherov S, Jaber G, Armon Y, Zilber S, Chertin B
Pediatr Surg Int 2022 Nov;38(11):1619-1623. Epub 2022 Aug 15 doi: 10.1007/s00383-022-05194-z. PMID: 35969254
Current diagnosis and management of urachal remnants.
Naiditch JA, Radhakrishnan J, Chin AC
J Pediatr Surg 2013 Oct;48(10):2148-52. doi: 10.1016/j.jpedsurg.2013.02.069. PMID: 24094971
Remnants of urachus in infants and children--the problems of diagnosis and treatment.
Nagasaki A, Sumitomo K, Iwanaga M, Ohgami H, Suita S, Yakabe S
Jpn J Surg 1991 Mar;21(2):167-71. doi: 10.1007/BF02470904. PMID: 2051662

Recent clinical studies

Etiology

Urachal remnants: from embryology to clinical practice.
Gkalonaki I, Patoulias I, Anastasakis M, Panteli C, Patoulias D
Folia Med Cracov 2023 Dec 30;63(4):81-88. doi: 10.24425/fmc.2023.148760. PMID: 38578347
Current management of the urachal anomalies (UA). Lessons learned from the clinical practice.
Perez D, Neeman B, Kocherov S, Jaber G, Armon Y, Zilber S, Chertin B
Pediatr Surg Int 2022 Nov;38(11):1619-1623. Epub 2022 Aug 15 doi: 10.1007/s00383-022-05194-z. PMID: 35969254
Robotic-Assisted Excision of a Urachal Diverticulum.
Frazzini Padilla P, Kwon S
J Minim Invasive Gynecol 2018 Feb;25(2):328. Epub 2017 Jun 22 doi: 10.1016/j.jmig.2017.06.016. PMID: 28647576
Current diagnosis and management of urachal remnants.
Naiditch JA, Radhakrishnan J, Chin AC
J Pediatr Surg 2013 Oct;48(10):2148-52. doi: 10.1016/j.jpedsurg.2013.02.069. PMID: 24094971
Urachal anomalies in children: a single center experience.
Choi YJ, Kim JM, Ahn SY, Oh JT, Han SW, Lee JS
Yonsei Med J 2006 Dec 31;47(6):782-6. doi: 10.3349/ymj.2006.47.6.782. PMID: 17191305Free PMC Article

Diagnosis

Urachal remnants: from embryology to clinical practice.
Gkalonaki I, Patoulias I, Anastasakis M, Panteli C, Patoulias D
Folia Med Cracov 2023 Dec 30;63(4):81-88. doi: 10.24425/fmc.2023.148760. PMID: 38578347
Imaging of urachal anomalies.
Buddha S, Menias CO, Katabathina VS
Abdom Radiol (NY) 2019 Dec;44(12):3978-3989. doi: 10.1007/s00261-019-02205-x. PMID: 31478084
Robotic-Assisted Excision of a Urachal Diverticulum.
Frazzini Padilla P, Kwon S
J Minim Invasive Gynecol 2018 Feb;25(2):328. Epub 2017 Jun 22 doi: 10.1016/j.jmig.2017.06.016. PMID: 28647576
Current diagnosis and management of urachal remnants.
Naiditch JA, Radhakrishnan J, Chin AC
J Pediatr Surg 2013 Oct;48(10):2148-52. doi: 10.1016/j.jpedsurg.2013.02.069. PMID: 24094971
Diagnosis of urachal anomalies in infancy and childhood by contrast fistulography, ultrasound and CT.
Nagasaki A, Handa N, Kawanami T
Pediatr Radiol 1991;21(5):321-3. doi: 10.1007/BF02011476. PMID: 1891254

Therapy

Rupture of urachal diverticulum in radiation cystitis and neurogenic bladder dysfunction after radical hysterectomy.
Kawakami M, Igawa Y, Inoue H, Koizumi K, Nishizawa O
Int J Urol 2004 Oct;11(10):919-21. doi: 10.1111/j.1442-2042.2004.00899.x. PMID: 15479303

Prognosis

Ruptured remnant of urachal diverticulum: an unusual cause of congenital urinary ascites.
Chilakala SK, Boulden TF, Pourcyrous M
J Perinatol 2012 Dec;32(12):978-80. doi: 10.1038/jp.2012.30. PMID: 23190938
Ten years of experience with isolated urachal anomalies in children.
Mesrobian HG, Zacharias A, Balcom AH, Cohen RD
J Urol 1997 Sep;158(3 Pt 2):1316-8. doi: 10.1097/00005392-199709000-00173. PMID: 9258204
Simplified approach to umbilical remnant abnormalities.
DiSantis DJ, Siegel MJ, Katz ME
Radiographics 1991 Jan;11(1):59-66. doi: 10.1148/radiographics.11.1.1996398. PMID: 1996398

Clinical prediction guides

Robotic-Assisted Excision of a Urachal Diverticulum.
Frazzini Padilla P, Kwon S
J Minim Invasive Gynecol 2018 Feb;25(2):328. Epub 2017 Jun 22 doi: 10.1016/j.jmig.2017.06.016. PMID: 28647576
Current diagnosis and management of urachal remnants.
Naiditch JA, Radhakrishnan J, Chin AC
J Pediatr Surg 2013 Oct;48(10):2148-52. doi: 10.1016/j.jpedsurg.2013.02.069. PMID: 24094971
Simplified approach to umbilical remnant abnormalities.
DiSantis DJ, Siegel MJ, Katz ME
Radiographics 1991 Jan;11(1):59-66. doi: 10.1148/radiographics.11.1.1996398. PMID: 1996398

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