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The urachus is also subject to neoplasia. Urachal adenocarcinoma is histologically similar to adenocarcinoma of the bowel. Rarely, urachus carcinomas can metastasise to other regions of the body, including pelvic bones and the lung. [7] One urachal mass has been reported that was found to be a manifestation of IgG4-related disease. [8]
In this condition there is a functional tubular connection between the umbilicus and the bladder which can lead to urine draining through the umbilicus. Patients often present with umbilical wetness or recurring infections in the area. Treatment options include laparoscopic surgery, excision of the umbilicus or conservative therapy.
A urachal fistula is a congenital disorder caused by the persistence of the allantois (later, urachus), the structure that connects an embryo's bladder to the yolk sac. Normally, the urachus closes off to become the median umbilical ligament ; however, if it remains open, urine can drain from the bladder to an opening by the umbilicus .
Umbilical urachal sinus. Umbilical-urachal sinus is a congenital disorder of the urinary bladder caused by failure of obliteration of proximal or distal part of the allantois, and the presentation of this anomaly is more common in children and rarer in adults.
A urachal diverticulum (also vesicourachal diverticulum) is a congenital disorder caused by the partial persistence of the allantois. The allantois, which later becomes the urachus , connects an embryo's bladder to the yolk sac .
4. Urinary bladder. 5. Urachus. cl. Cloaca. cp. Elevation which becomes clitoris or penis. i. Lower part of the intestine. ls. Fold of integument from which the labia majora or scrotum are formed. m, m. Right and left Müllerian ducts uniting together and running with the Wolffian ducts in gc, the genital cord. ot.
Ex-Utero Intrapartum Treatment (EXIT): Some fetal procedures can be performed at delivery, per Cleveland Clinic. The uterus is opened and the pregnant person partially delivers the baby, and then ...
Urachal cancer can exist for some years without any symptoms. The most frequent initial symptom is haematuria which occurs when the urachal tumour has penetrated the bladder wall, but mucinuria (mucin in the urine), local pain or swelling, recurrent local or urinary tract infections and umbilical discharge can (but is not always) be seen.