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[Sonography of urachal anomalies in childhood]
A Leicher-Düber1, R Schumacher
1Institut für Klinische Strahlenkunde, Johannes-Gutenberg-Universität Mainz.
Insights
Ultrasound effectively diagnoses various urachal anomalies, including persistent urachus, urachal sinus, infected urachal cysts, and urachal diverticulum. Surgical intervention is recommended for symptomatic cases, ensuring effective treatment for these rare congenital conditions.
Area of Science:
- Urology
- Pediatric Surgery
- Diagnostic Imaging
Background:
- Urachal anomalies are rare congenital abnormalities arising from the embryonic urachus.
- These anomalies can lead to complications such as infection and malignancy.
- Accurate diagnosis is crucial for appropriate management.
Purpose of the Study:
- To illustrate the sonographic appearances of various urachal anomalies.
- To evaluate the diagnostic accuracy of ultrasound in identifying these conditions.
- To correlate sonographic findings with clinical presentation and treatment outcomes.
Main Methods:
- Retrospective review of six patients with confirmed urachal anomalies.
- Detailed analysis of sonographic imaging characteristics for each anomaly type.
- Correlation of imaging findings with surgical and pathological data where available.
Main Results:
- Ultrasound successfully diagnosed all six cases of urachal anomalies.
- Specific sonographic features were identified for persistent urachus, infected persistent urachus, urachal sinus, infected urachal cyst, and urachal diverticulum.
- All symptomatic patients underwent surgical treatment.
Conclusions:
- Sonography is a reliable imaging modality for diagnosing urachal anomalies.
- Characteristic ultrasound findings aid in differentiating various types of urachal abnormalities.
- Surgical management is indicated for symptomatic urachal anomalies.
Abstract:
The sonographic appearances of urachal anomalies are illustrated by six patients with persistent urachus (n = 1), infected persistent urachus (n = 1), urachal sinus (n = 1), infected urachal cyst (n = 2) and urachal diverticulum (n = 1). The anomalies were diagnosed sonographically in every case. Symptomatic patients were treated surgically.