scholarly journals Ultrasound findings of urachal anomalies. A series of interesting cases

2019 ◽  
Vol 21 (3) ◽  
pp. 294 ◽  
Author(s):  
Xianghong Luo ◽  
Jun Lin ◽  
Lianfang Du ◽  
Rong Wu ◽  
Zhaojun Li
Keyword(s):  
Differential Diagnosis ◽  
High Frequency ◽  
Urachal Cyst ◽  
Diagnostic Ability ◽  
Patent Urachus ◽  
Ultrasound Findings ◽  
Urachal Sinus ◽  
Us Findings ◽  
Distinct Features ◽  
High Frequency Probe

Aims: This study’s aim is to present the specific ultrasonography (US) findings of a series of urachus anomalies. Material and methods: Seven patients with suspected urachal anomalies underwent US scanning initially prior to the surgery and the features of images were reviewed respectively. The clinical data and pathologic results were collected also. Results: US successfully diagnosed urachal anomalies in 5 patients (5/7, 71.4%) and failed to diagnose in 2 patients (2/7, 28.6%). Patent urachus showed a tubule between the umbilicus and bladder; urachal sinus was a blind focal dilatation at the umbilical end, while vesicourachal diverticulum was an outpouching at the vesical end and urachal cyst was identified as an anechoic structure along the urachus. Non-enhancement in the base and centre was the distinct features of urachus carcinoma by contrastenhanced ultrasonography (CEUS). Using a high frequency probe and CEUS the diagnostic ability of US may be improved. Conclusion: US showed good diagnostic ability in urachal anomalies and combined with CEUS could improve the differential diagnosis.

The urachus revisited: multimodal imaging of benign & malignant urachal pathology

2020 ◽  
Vol 93 (1110) ◽  
pp. 20190118
Author(s):  
Jeeban Paul Das ◽  
Hebert Alberto Vargas ◽  
Aoife Lee ◽  
Barry Hutchinson ◽  
Eabhann O'Connor ◽  
...  
Keyword(s):  
Urachal Cyst ◽  
Imaging Features ◽  
Foetal Development ◽  
Urachal Remnant ◽  
Bladder Dome ◽  
Positron Emission ◽  
Patent Urachus ◽  
Urinary Tract Symptoms ◽  
Urachal Sinus ◽  
Ct And Mri

The urachus is a fibrous tube extending from the umbilicus to the anterosuperior bladder dome that usually obliterates at week 12 of gestation, becoming the median umbilical ligament. Urachal pathology occurs when there is incomplete obliteration of this channel during foetal development, resulting in the formation of a urachal cyst, patent urachus, urachal sinus or urachal diverticulum. Patients with persistent urachal remnants may be asymptomatic or present with lower abdominal or urinary tract symptoms and can develop complications. The purpose of this review is to describe imaging features of urachal remnant pathology and potential benign and malignant complications on ultrasound, CT, positron emission tomography CT and MRI.

scholarly journals Acute abdomen due to an infected urachal cyst in a 5-year-old female: case report

2019 ◽  
Vol 2019 (5) ◽  
Author(s):  
Aghyad Kudra Danial ◽  
Ahmad Sankari Tarabishi ◽  
Ahmad Aldakhil ◽  
Ayham Alzahran ◽  
Omar Najjar ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Clinical Presentation ◽  
Exploratory Laparotomy ◽  
Urachal Cyst ◽  
Complete Excision ◽  
Development Stages ◽  
Patent Urachus ◽  
Female Case ◽  
Urachal Sinus ◽  
Umbilical Ligament

Abstract The urachus is an embryonic tube that connects the upper portion of the bladder to the umbilicus, and obliterates normally during embryonic development stages forming the median umbilical ligament. Incomplete obliteration of this tube results in many anomalies such as congenital patent urachus, umbilical urachal sinus, vesicourachal diverticulum and urachal cyst. We report in this case a 5-year-old female presented to the Emergency, complaining of generalized abdominal pain, fever, vomiting, and constipation with no umbilical discharge. The clinical presentation accompanied by radiology investigations suggested a case of acute abdomen. We performed an exploratory laparotomy and found a mass above the bladder connected to the umbilicus; we excised the mass and sent a specimen to pathology that confirmed Urachal cyst. Urachal cyst is usually asymptomatic unless it is complicated; depending on our case, we recommend surgical management by complete excision for complicated urachal cyst.

scholarly journals Surgical strategy of urachal remnants in children

2019 ◽  
Vol 2019 (7) ◽  
Author(s):  
Yukihiro Tatekawa
Keyword(s):  
Urinary Bladder ◽  
Urachal Cyst ◽  
Pathologic Examination ◽  
Complete Excision ◽  
Postoperative Course ◽  
Pfannenstiel Incision ◽  
Urachal Remnant ◽  
Patent Urachus ◽  
Urachal Sinus ◽  
Open Excision

Abstract A urachus is a vestigial tubular structure that connects the urinary bladder to the allantois during early embryonic development. Urachal remnants are classified as patent urachus, urachal sinus, urachal cyst, and urachal diverticulum. Ten patients with urachal remnants underwent surgery at our institution between 2015 and 2019. Six patients had a urachal sinus, and four had a urachal diverticulum. Two patients with urachal sinus underwent excision of the urachal remnant, from the umbilicus to the urinary bladder, using an umbilical approach. The other four patients with urachal sinus underwent laparoscopic surgery with excision of the urachal remnant, from the umbilicus to the urinary bladder. All patients with urachal diverticulum underwent open excision of the diverticulum through a Pfannenstiel incision. Pathologic examination of all urachal remnants showed no evidence of neoplasm and complete excision. All patients had an uneventful postoperative course and are doing well.

scholarly journals Cervicogenic headache: Josey's cases revisited

1997 ◽  
Vol 55 (4) ◽  
pp. 841-848 ◽  
Author(s):  
Maurice Vincent ◽  
Renato A. Luna
Keyword(s):  
Differential Diagnosis ◽  
Diagnostic Criteria ◽  
Clinical Picture ◽  
High Frequency ◽  
Female Gender ◽  
Cervicogenic Headache ◽  
Common Disorder ◽  
Recommended Treatment ◽  
Previous Trauma

Before Sjaastad coined the term cervicogenic headache (CH) 15 years ago, neck-related headaches have been considered by different authors for many years. Even after the publication of diagnostic criteria, dispute on the clinical picture, differential diagnosis, pathophysiology and treatment of CH still persists. A paper published in 1949 by Josey reports on 6 "illustrative" cases of cervical-related headaches. Indeed, looked from a more recent perspective, those cases could eventually correspond to CH. Important topics such as the relatively high frequency, fixed unilaterality of the pain, relation to previous trauma, irradiation from the back to the forehead, normal or slightly abnormal roentgenograms, and the mechanical precipitation of attacks are some of the topics considered by Josey. The female gender was not prevalent in Josey's series. Traction and analgesics were basically the recommended treatment. CH is probably a common disorder, an idea already considered by a clinician in 1949. This syndrome was not adequately described before Sjaastad's group papers in the 80's.

scholarly journals Combination of Alvarado score and ultrasound findings in diagnosis of acute appendicitis in children

2017 ◽  
Vol 1 ◽  
pp. 1
Author(s):  
Tamer Fakhry ◽  
Mohamed Shawky
Keyword(s):  
Acute Appendicitis ◽  
Imaging Modality ◽  
Radiology Department ◽  
University Hospitals ◽  
Normal Appendix ◽  
Differential Leukocyte Count ◽  
Alvarado Score ◽  
Ultrasound Findings ◽  
Clinical Scoring ◽  
Us Findings

Appendicitis is the most common cause of emergency abdominal surgeries in children. Ultrasound (US) has been proven to be a helpful imaging modality in patient evaluation, especially in children suspected of appendicitis. The Alvarado score is a 10-point scoring system for the diagnosis of appendicitis based on clinical data and differential leukocyte count. The aim of the present study was to evaluate a combination of clinical scoring (Alvarado score) and US findings for accurate diagnosis of appendicitis in children. The study was done in Menoufia University Hospitals from March 2011 to January 2013. 322 children with abdominal pain clinically suspected of having appendicitis were included in the study and clinically assessed to calculate the Alvarado score. Patients were referred to the radiology department for abdominal US. Among the 153 of the 322 patients who were operated on, 149 patients were diagnosed pre-operatively with acute appendicitis and 4 girls were diagnosed with complex ovarian cysts. Of the 149 patients diagnosed with appendicitis, the percentage of appendicitis was 93% (139/149) and 10 (7%) patients had normal appendix. The prevalence of appendicitis among the patients of the study was 43% (139/322). In conclusion, a combination of Alvarado scores and abdominal US is a good approach for the diagnosis of appendicitis in children to reduce the number of laparotomies for normal appendix. In the case of normal appendix or nonvisualization of the appendix via abdominal US without a high Alvarado score, appendicitis can be safely ruled out. If it is proven as an inflamed appendix on US or a high Alvarado score, patient should be subjected for appendectomy without delay.

ULTRASOUND AS PRIME MODALITY OF CHOICE FOR EVALUATION OF BREAST LESIONS.

2021 ◽  
pp. 37-38
Author(s):  
Snehal Santosh Rathi ◽  
Sonali Mhaske Kadam
Keyword(s):  
High Frequency ◽  
Breast Imaging ◽  
Nipple Discharge ◽  
Signs And Symptoms ◽  
Breast Ultrasound ◽  
Breast Lesions ◽  
Medical College ◽  
Primary Screening ◽  
High Frequency Probe

INTRODUCTION: The four main roles of ultrasound in Breast imaging are-primary screening, supplemental screening, diagnosis and Interventional procedures. Palpable masses, abnormal nipple discharge and mammographic abnormalities constitute the most common indication for targeted Breast Ultrasound. AIM: To study the role of Ultrasound in evaluating Breast lesions and characterising them as Benign or Malignant. MATERIAL AND METHODS:This is a Retrospective analysis conducted in Department of Radiology, MGM Medical College and Hospital, Kamothey, Navi Mumbai from February 2021 to June 2021. A total of 136 patients with signs and symptoms related to breast lesions were screened. CONCLUSION: The advent of high frequency probe, easy accessibility, cost effectiveness, reliability and relatively easy to perform makes ultrasound as the prime modality of choice for screening breast lesions.

scholarly journals Congenital High Airway Obstruction Syndrome: Antenatal Ultrasound Findings

2017 ◽  
Vol 03 (02) ◽  
pp. 114-116
Author(s):  
Hemant Thakur ◽  
Shirish Vaidya
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Airway Obstruction ◽  
Absolute Neutrophil Count ◽  
Neutrophil Count ◽  
Pregnant Female ◽  
Thoracic Cavity ◽  
Antenatal Ultrasound ◽  
Tracheal Obstruction ◽  
Ultrasound Findings

Abstract Objective: The objective of this study was to describe the antenatal ultrasound appearances of congenital high airway obstruction syndrome (CHAOS), which typically manifests as large echogenic lungs acquiring whole of the thorax and dilatation of the trachea distal to the obstruction and causing intrinsic laryngeal/tracheal obstruction. Case report: A 30-year-old pregnant female with 24 weeks gestation come for routine absolute neutrophil count (ANC) scan. Ultrasonography (USG) was performed, and large echogenic lungs occupying whole of the thoracic cavity compressing the heart in between and causing inversion of the bilateral domes of the diaphragm were found. There was dilatation of the tracheal distal to the lesion and polyhydramnios. Conclusion: The described USG finding of CHAOS may be useful in deciding when to include this entity in the differential diagnosis of enlarged echogenic lungs.

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