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Prolapsed urachal sinus with pyourachus in an infant
Victoria Lane1, Ramnik Patel, Rejoo D Daniel
1Department of Paediatric Surgery, Children's Hospital, University Hospitals of Hull and East Yorkshire NHS Trust, Hull Royal Infirmary, HU3 2JZ Hull, UK.
Journal of Pediatric Surgery
|March 14, 2013
Summary
A rare umbilical mass in an infant was diagnosed as an inflamed urachal sinus with pyourachus. Surgical excision resulted in a full recovery, highlighting effective treatment for this congenital anomaly.
Area of Science:
- Pediatric Surgery
- Urology
- Congenital Anomalies
Background:
- The urachus is a remnant of the allantois, typically obliterating after birth.
- Persistent urachal remnants can lead to various complications, including infections and cyst formation.
Observation:
- An infant presented with a discharging umbilical mass and a separate central abdominal mass.
- Intraoperative findings revealed a prolapsed, open, and inflamed urachal sinus complicated by pyourachus.
Findings:
- The urachal sinus was identified as the source of the umbilical discharge and abdominal mass.
- Complete surgical excision of the urachal remnant from the bladder dome to the umbilicus was performed.
Implications:
- This case underscores the importance of recognizing and surgically managing urachal sinus complications in infants.
- Successful total excision ensures favorable outcomes and prevents recurrence of this rare congenital condition.
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