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Evaluation and management of urachal remnants in children
Author(s) -
Orbatu Dilek,
Alaygut Demet
Publication year - 2020
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.14272
Subject(s) - medicine , radiological weapon , asymptomatic , complication , surgery , medical record , conservative treatment , conservative management , abdominal pain
Abstract Background This study aimed to evaluate the diagnosis and treatment of pediatric patients with urachal remnants. Methods Medical records of patients diagnosed with urachal remnants between 2015–2019 were evaluated retrospectively. Age, gender, admission complaints, diagnosis, size of cysts, the complications that developed, and treatment modalities were recorded. Results The study population consisted of 15 cases including seven girls. Most of the cases were asymptomatic. The urachal remnants were detected by ultrasonography. The most common symptom in symptomatic patients was abdominal pain and umbilical discharge. Three patients required surgery and most of them were conservatively followed up. Complication, infection, and bladder rupture were observed in one case. Conclusions Follow‐up of patients with urachal remnants can be performed conservatively. The type of complaint and the presence of clinical and radiological regression (if any) are important for deciding the treatment during the follow‐up. However, conservative follow‐up is more prominent today, as shown in this study.