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Patent urachus

MedGen UID:
75610
Concept ID:
C0266357
Congenital Abnormality
Synonym: Persistent urachus
SNOMED CT: Patent urachus (398316009); Persistent umbilical sinus (398316009); Patent urachal duct (398316009)
Modes of inheritance:
Not genetically inherited
MedGen UID:
988794
Concept ID:
CN307044
Finding
Source: Orphanet
clinical entity without genetic inheritance.
 
HPO: HP:0010479
Monarch Initiative: MONDO:0018551
Orphanet: ORPHA431341

Definition

Persistence of the urachal canal resulting in a canal between the bladder and the umbilicus. [from HPO]

Conditions with this feature

VATER association
MedGen UID:
902479
Concept ID:
C4225671
Disease or Syndrome
VATER is a mnemonically useful acronym for the nonrandom association of vertebral defects (V), anal atresia (A), tracheoesophageal fistula with esophageal atresia (TE), and radial or renal dysplasia (R). This combination of associated defects was pointed out by Quan and Smith (1972). Nearly all cases have been sporadic. VACTERL is an acronym for an expanded definition of the association that includes cardiac malformations (C) and limb anomalies (L). The VACTERL association is a spectrum of various combinations of its 6 components, which can be a manifestation of several recognized disorders rather than a distinct anatomic or etiologic entity (Khoury et al., 1983). Also see VATER/VACTERL association with hydrocephalus (VACTERL-H; 276950) and VACTERL with or without hydrocephalus (VACTERLX; 314390).
Mitochondrial complex 1 deficiency, nuclear type 32
MedGen UID:
1648336
Concept ID:
C4748839
Disease or Syndrome
Cardiac-urogenital syndrome
MedGen UID:
1648333
Concept ID:
C4748946
Disease or Syndrome
Cardiac-urogenital syndrome is characterized by partial anomalous pulmonary venous return in association with tracheal anomalies, pulmonary hypoplasia, congenital diaphragmatic hernia, thyroid fibrosis, thymic involution, cleft spleen, penoscrotal hypospadias, and cryptorchidism (Pinz et al., 2018).

Professional guidelines

PubMed

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
Hodes AD, Weinberg G, Borenstein SH, Liszewski MC, Levin TL
Pediatr Radiol 2021 Sep;51(10):1929-1933. Epub 2021 May 20 doi: 10.1007/s00247-021-05106-8. PMID: 34014354
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

Recent clinical studies

Etiology

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
Schiffman JS
J Emerg Med 2018 Sep;55(3):333-338. Epub 2018 Jul 30 doi: 10.1016/j.jemermed.2018.05.023. PMID: 30072186
Parada Villavicencio C, Adam SZ, Nikolaidis P, Yaghmai V, Miller FH
Radiographics 2016 Nov-Dec;36(7):2049-2063. doi: 10.1148/rg.2016160062. PMID: 27831842
Gleason JM, Bowlin PR, Bagli DJ, Lorenzo AJ, Hassouna T, Koyle MA, Farhat WA
J Urol 2015 Feb;193(2):632-6. Epub 2014 Sep 16 doi: 10.1016/j.juro.2014.09.004. PMID: 25219697
Siow SL, Mahendran HA, Hardin M
Asian J Surg 2015 Apr;38(2):85-90. Epub 2014 Jun 16 doi: 10.1016/j.asjsur.2014.04.009. PMID: 24947766

Diagnosis

Patel J, Sasson A, Simpson WL Jr, Wilck E
Clin Imaging 2024 Jun;110:110137. Epub 2024 Mar 24 doi: 10.1016/j.clinimag.2024.110137. PMID: 38593675
Kwon JY, Pyeon SY
Medicina (Kaunas) 2022 Nov 10;58(11) doi: 10.3390/medicina58111621. PMID: 36363578Free PMC Article
Buddha S, Menias CO, Katabathina VS
Abdom Radiol (NY) 2019 Dec;44(12):3978-3989. doi: 10.1007/s00261-019-02205-x. PMID: 31478084
Parada Villavicencio C, Adam SZ, Nikolaidis P, Yaghmai V, Miller FH
Radiographics 2016 Nov-Dec;36(7):2049-2063. doi: 10.1148/rg.2016160062. PMID: 27831842
Arlen AM, Smith EA
Clin Perinatol 2014 Sep;41(3):695-707. Epub 2014 Jul 18 doi: 10.1016/j.clp.2014.05.015. PMID: 25155736

Therapy

Iwaniak K, Kotwica-Strzałek E, Mosakowska M, Niemczyk S
Pol Merkur Lekarski 2022 Aug 23;50(298):246-248. PMID: 36086985
McQuaid JW, Gorman EF, Johnson EK, Cilento BG
Urology 2014 Dec;84(6):1496-8. doi: 10.1016/j.urology.2014.08.003. PMID: 25432845
Chantler C, Baum JD, Wigglesworth JS, Scopes JW
J Obstet Gynaecol Br Commonw 1969 Mar;76(3):273-4. doi: 10.1111/j.1471-0528.1969.tb05833.x. PMID: 5775151

Prognosis

Kang S, Imura E, Kim YJ, Yoon SA, Lee JH, Park JW
Medicine (Baltimore) 2022 May 20;101(20):e29187. doi: 10.1097/MD.0000000000029187. PMID: 35608419Free PMC Article
Blažík R, Matěcha J, Pýchová M, Bayerová E, Chmel R, Černý M, Fait T
Ceska Gynekol 2019 Winter;84(6):425-429. PMID: 31948250
Schiffman JS
J Emerg Med 2018 Sep;55(3):333-338. Epub 2018 Jul 30 doi: 10.1016/j.jemermed.2018.05.023. PMID: 30072186
Gleason JM, Bowlin PR, Bagli DJ, Lorenzo AJ, Hassouna T, Koyle MA, Farhat WA
J Urol 2015 Feb;193(2):632-6. Epub 2014 Sep 16 doi: 10.1016/j.juro.2014.09.004. PMID: 25219697
Siow SL, Mahendran HA, Hardin M
Asian J Surg 2015 Apr;38(2):85-90. Epub 2014 Jun 16 doi: 10.1016/j.asjsur.2014.04.009. PMID: 24947766

Clinical prediction guides

Iwaniak K, Kotwica-Strzałek E, Mosakowska M, Niemczyk S
Pol Merkur Lekarski 2022 Aug 23;50(298):246-248. PMID: 36086985
Umeda S, Usui N, Kanagawa T, Yamamichi T, Nara K, Ueno T, Owari M, Uehara S, Oue T, Kimura T, Okuyama H
Eur J Pediatr Surg 2016 Apr;26(2):200-2. Epub 2016 Mar 16 doi: 10.1055/s-0035-1549263. PMID: 26981767
Gleason JM, Bowlin PR, Bagli DJ, Lorenzo AJ, Hassouna T, Koyle MA, Farhat WA
J Urol 2015 Feb;193(2):632-6. Epub 2014 Sep 16 doi: 10.1016/j.juro.2014.09.004. PMID: 25219697
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
Yu JS, Kim KW, Lee HJ, Lee YJ, Yoon CS, Kim MJ
Radiographics 2001 Mar-Apr;21(2):451-61. doi: 10.1148/radiographics.21.2.g01mr02451. PMID: 11259707

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