An Unusual Case of Meckel Diverticulitis Misdiagnosed as an Infected Urachal Cyst
Conclusion: Preoperatory diagnosis of MD represents a challenge. We want to emphasize the necessity of a thorough inspection of the small bowel during all abdominal surgical interventions and MD surgical excision regardless of its macroscopic appearance. These two actions seem to be the best prophylaxis measures for MD complications and consequently to avoid emergency surgery, in which case more extensive surgical procedures on an unstable patient may be needed.PMID:34068430 | PMC:PMC8153632 | DOI:10.3390/medicina57050495 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - June 2, 2021 Category: Universities & Medical Training Authors: Ioana Anca Stefanopol Magdalena Miulescu Liliana Baroiu Aurelian-Dumitrache Anghele Dumitru Marius Danila Zina Tiron Source Type: research

An Unusual Case of Meckel Diverticulitis Misdiagnosed as an Infected Urachal Cyst
Conclusion: Preoperatory diagnosis of MD represents a challenge. We want to emphasize the necessity of a thorough inspection of the small bowel during all abdominal surgical interventions and MD surgical excision regardless of its macroscopic appearance. These two actions seem to be the best prophylaxis measures for MD complications and consequently to avoid emergency surgery, in which case more extensive surgical procedures on an unstable patient may be needed.PMID:34068430 | PMC:PMC8153632 | DOI:10.3390/medicina57050495 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - June 2, 2021 Category: Universities & Medical Training Authors: Ioana Anca Stefanopol Magdalena Miulescu Liliana Baroiu Aurelian-Dumitrache Anghele Dumitru Marius Danila Zina Tiron Source Type: research

An Unusual Case of Meckel Diverticulitis Misdiagnosed as an Infected Urachal Cyst
Conclusion: Preoperatory diagnosis of MD represents a challenge. We want to emphasize the necessity of a thorough inspection of the small bowel during all abdominal surgical interventions and MD surgical excision regardless of its macroscopic appearance. These two actions seem to be the best prophylaxis measures for MD complications and consequently to avoid emergency surgery, in which case more extensive surgical procedures on an unstable patient may be needed.PMID:34068430 | PMC:PMC8153632 | DOI:10.3390/medicina57050495 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - June 2, 2021 Category: Universities & Medical Training Authors: Ioana Anca Stefanopol Magdalena Miulescu Liliana Baroiu Aurelian-Dumitrache Anghele Dumitru Marius Danila Zina Tiron Source Type: research

Identification of an Infected Urachal Cyst Using Point-of-Care Ultrasound
This case describes a 6-year-old girl who presented to the pediatric emergency department with 3 days of fever and suprapubic pain in the setting of 1 month of worsening, dull abdominal pain. On presentation, she had a tender, erythematous, and fluctuant mass on her lower abdomen. Point-of-care ultrasound was used to identify an abnormal fluid collection anterior to her bladder, suspicious for an infected urachal cyst. In this case, point-of-care ultrasound helped identify this uncommon finding in a timely fashion, which expedited definitive care and prevented unnecessary exposure to ionizing radiation. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2021 Category: Emergency Medicine Tags: Ultrasound Case Review Source Type: research

The Prognosis and Oncological Predictor of Urachal Carcinoma of the Bladder: A Large Scale Multicenter Cohort Study Analyzed 203 Patients With Long Term Follow-Up
ConclusionThe pathological stage, PSM, and PLM were significantly associated with the survival of UC patients, emphasizing an importance of the complete surgical resection of tumor lesion. (Source: Frontiers in Oncology)
Source: Frontiers in Oncology - May 31, 2021 Category: Cancer & Oncology Source Type: research

First Case of a Term Male Born with Aphallia and Complete Urethral Atresia
We report the first case of a prenatally unrecognized aphallia with complete urethral atresia in a full-term baby, without an associated fistula or ectopic urethra. We postulate a urachal cyst noted on prenatal ultrasound resolved into a patent urachus providing sufficient outflow to avoid sequelae of oligohydramnios and allowed for term birth. (Source: Urology)
Source: Urology - May 31, 2021 Category: Urology & Nephrology Authors: Rachel P. Vaizer, John Z. Benton, Bradley A. Morganstern Source Type: research

Management of Left Staghorn Calculus with Colorenal Fistula
Fistula formation between the kidney and the colon is a rare occurrence. Colorenal fistulas have been reported after renal cryoablation, calculous pyonephrosis, and renal cell carcinoma. Fistula formation is reported in as many as 35% of patients with Crohn's disease. Crohn's-related urinary fistulas may include enterovesical, enteroureteral, rectourethral, urethrocutaneous, and entero-urachal fistulas. Here, we report a rare case of a patient who was found to have a left colorenal fistula in the setting of a left staghorn calculus and recurrent urinary tract infections with a question about the eventual definitive managem...
Source: Urology - May 12, 2021 Category: Urology & Nephrology Authors: Tina Lulla, John Sheng, Vivek Maheshwari, Rahuldev Bhalla Tags: Clinical Challenges in Urology Source Type: research

Clinical Utility of 18F-FDG PET/CT for Staging and Treatment Planning in Urachal Adenocarcinoma
Conclusion: 18F-FDG PET/CT has clinical utility in patients with UrC-ADC by identifying metastatic disease not appreciated on anatomic imaging, leading to changes in staging and patient management. (Source: Journal of Nuclear Medicine)
Source: Journal of Nuclear Medicine - May 11, 2021 Category: Nuclear Medicine Authors: Das, J. P., Vargas, H. A., Ghafoor, S., Goh, A. C., Ulaner, G. A. Tags: Brief Communications Source Type: research

Are urachal remnants really rare in children? An observational study
Conclusion: The prevalence of urachal remnants in our cohort was nearly 2 in every 1000 children. More specifically, the prevalence of urachal cysts was one in 600.What is Known:•Urachal remnants were believed to be rare.•Recent studies indicated a higher incidence than previous reports.What is New:•This study shows that urachal remnant may be observed in one every 500 children that undergo ultrasonography of the abdomen for various reasons.•Parental counselling and management of urachal remnants should be planned accordingly. (Source: European Journal of Pediatrics)
Source: European Journal of Pediatrics - May 8, 2021 Category: Pediatrics Source Type: research

Urachal Pathology: Review of Cases
Conclusions: Due to the lack of a specific clinical picture and undefined findings in image tools, diagnosis is difficult and it may be inaccurate. Despite more data are needed, our results suggest that the systematic excision of urachal lesions could result in safer outcomes since cases where a benign lesion is clinically suspected might result in malignant tumors.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - May 6, 2021 Category: Urology & Nephrology Source Type: research

Dysuria, Rebound Tenderness, and a Palpable Mass-A Ticking Time Bomb
Mil Med. 2021 Apr 30:usab180. doi: 10.1093/milmed/usab180. Online ahead of print.ABSTRACTA 37-year-old male presented to the emergency department with the complaint of periumbilical abdominal pain, radiating to just above pubic symphysis. The patient reported that the pain was worse with urination and associated with chills and nausea. This case reports discusses the Emergency Department (ED) course and subsequent treatment of a patient found to have an infected urachal cyst, a previously asymptomatic embryological anomaly in an otherwise healthy middle-aged adult male. This is a crucial diagnosis to make in order to avoid...
Source: Military Medicine - April 30, 2021 Category: International Medicine & Public Health Authors: Tyler Miklovic Philip Davis Source Type: research

Umbilical sparing robotic partial cystectomy for localized urachal adenocarcinoma: A case report
Publication date: Available online 14 April 2021Source: Urology Case ReportsAuthor(s): Jessica Connor, Yu Zheng, Austin Stark, Tim Smith, Robert L. Grubb (Source: Urology Case Reports)
Source: Urology Case Reports - April 15, 2021 Category: Urology & Nephrology Source Type: research

Urachal carcinoma revealed by isolated hematuria
We describe two pathological cases of urachal adenocarcinoma revealed by isolated hematuria.PMID:33732451 | PMC:PMC7937653 | DOI:10.1016/j.amsu.2021.102193 (Source: Annals of Medicine)
Source: Annals of Medicine - March 18, 2021 Category: Internal Medicine Authors: Issam Jandou Adnan Ettanji Ettaouil Mohammed Amine Moataz Dakir Mohammed Adil Debbagh Rachid Aboutaieb Source Type: research