[Pregnancy complicated by patent urachus: A case report]

Area of Science:

• Obstetrics and Gynecology
• Fetal Medicine
• Urology

Background:

• Patent urachus is a congenital anomaly where the urachus duct fails to obliterate, creating a connection between the bladder and umbilicus.
• While often asymptomatic or resolving in childhood, it can manifest with umbilical leakage or infection, posing diagnostic challenges during pregnancy.

Purpose of the Study:

• To enhance clinical understanding of diagnosing and managing pregnancy complicated by patent urachus.
• To review existing literature and present a case study on clinical presentation, diagnosis, and treatment outcomes.

Main Methods:

• Case report of a pregnant patient with patent urachus.
• Review of clinical symptoms, ultrasound findings, and delivery outcomes.
• Literature review on patent urachus diagnosis and management.

Main Results:

• The patient presented with umbilical leakage at 33 weeks gestation, diagnosed via ultrasound showing a bladder-umbilicus connection.
• Management involved regular checks, maintaining umbilical hygiene, and successful vaginal delivery.
• Postpartum, symptoms improved, with planned elective urachus resection.

Conclusions:

• Patent urachus diagnosis during pregnancy requires careful monitoring and hygiene to prevent infection.
• Ultrasound is crucial for diagnosis; CT and MRI serve as auxiliary methods.
• Vaginal delivery is not contraindicated, and surgical correction is recommended after pregnancy.