Advertisement
Clinical communication| Volume 10, ISSUE 2, P151-156, March 1992

Download started.

Ok

Umbilical inflammatory conditions: Case report and differential diagnosis

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      Umbilical inflammatory conditions may result from a variety of congenital and acquired abnormalities, some of which may be life threatening. An understanding of the developmental anatomy of the umbilicus provides a basis for formulating an approach to both evaluation and treatment of these conditions. A case report is presented.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Trimingham H.L.
        • McDonald J.R.
        Congenital anomalies in the region of the umbilicus.
        Surg Gynecol Obstet. 1945; 80: 162-163
        • Begg R.C.
        The urachus: it's anatomy, histology and development.
        Surg Gynecol Obstet. 1930; 64: 170-183
        • Bauer S.B.
        • Retik A.D.
        Urachal anomalies and related umbilical disorders.
        Urol Clin North Am. 1978; 5: 195-210
        • Nix J.T.
        • Menville J.G.
        • Davis J.E.
        Congenital patent urachus.
        J Urol. 1958; 79: 264-273
        • Hammond G.
        • Yglesias L.
        • Wendt D.L.
        The urachus, it's anatomy and associated fasciae.
        Anat Rec. 1941; 80: 270-282
        • Blichert-Toft M.
        • Koch F.
        • Nielsen O.V.
        Anatomic variance of the urachus related to clinical appearance and surgical treatment of urachal lesions.
        Surg Gynecol Obstet. 1973; 137: 51-54
        • Spataro R.F.
        • Davis R.S.
        • McLachlan M.S.
        • Linke C.A.
        • Barbaric Z.L.
        Urachal abnormalities in the adult.
        Radiology. 1983; 149: 659-663
        • Nair K.P.N.
        Mucous metaplasia and rupture of urachal cyst as a rare cause of acute abdomen.
        Br J Urol. 1987; 59: 21-22
        • Davidson B.R.
        • Brown N.J.
        Haemorrhage into a urachal cyst presenting as an “acute abdomen”.
        Postgrad Med J. 1987; 63: 493-494
        • Rees H.I.
        Infected urachal cysts.
        Br Med J. 1953; 216: 184-186
        • Lazarus J.A.
        • Rosenthal A.A.
        Ruptured pyourachus complicated by urethral stricture.
        Ann Surg. 1935; 102: 49-54
        • Callanan J.G.
        Two cases of urachal cyst.
        Br J Urol. 1951; 23: 271-275
        • Boyle G.
        • Rosenberg H.K.
        • et al.
        An unusual presentation of an infect urachal cyst.
        Clin Pediatr. 1988; 27: 130-134
        • Morin M.E.
        • Tan A.
        • Baker D.A.
        • Sue H.K.
        Urachal cyst in the adult: ultrasound diagnosis.
        AJR. 1979; 132: 831-832
        • Newman B.M.
        • Karp M.P.
        • Jewett T.C.
        • Cooney D.R.
        Advances in the management of infected urachal cysts. 1986; 21: 1051-1054
        • Thomford N.R.
        • Knight P.R.
        • Nusbaum J.W.
        Urachal abnormalities in the adult.
        Ann Surg. 1971; 138: 405-407
        • Goldman I.L.
        • Caldamone A.A.
        • Gauder M.
        • Hampel N.
        • Wesselhoeft L.W.
        • Elder J.S.
        Infected urachal cysts: a review of ten cases.
        J Urol. 1988; 140: 375-378
        • Breman S.M.
        • Tolia B.M.
        • Laor E.
        • Reid R.E.
        • Schweizerhof S.P.
        • Freid S.Z.
        Urachal remnants in adults.
        Urology. 1988; 31: 17-21
        • Dew R.
        Urachal-tract disease as a gynecologic problem-report of a case.
        Obstet Gynecol. 1959; 13: 730-733
        • Agatstein E.H.
        • Stabile B.E.
        Peritonitis due to intraperitoneal perforation with infected urachal cyst.
        Arch Surg. 1984; 119: 1269-1273
        • Christensen R.F.
        • Crone P.
        • Hesselfeldt P.
        • et al.
        Ruptured urachal cyst — a rare cause of peritonitis.
        Acta Chir Scand. 1982; 148: 699-700
        • Campanale R.P.
        • Krumbach R.W.
        Intraperitoneal perforation of infected urachal cyst.
        Am J Surg. 1955; 90: 143-145
        • Nunn L.L.
        Urachal cysts and their complications.
        Am J Surg. 1952; 83: 252-255
        • Standfield N.J.
        • Shearer R.J.
        Prostatism, obstructive uropathy and uraemia associated with a urachal cyst.
        Br J Urol. 1981; 53: 482
        • Blichert-Toft M.
        • Axelsson C.K.
        Urachal lesion associated with calculus formation causing intestinal obstruction.
        Scand J Urol Nephrol. 1977; 11: 77-79
        • Lewis E.L.
        • Kibrough J.C.
        Infected urachal cyst.
        US Armed Forces Med J. 1952; 3: 1525-1527
        • Atcheson D.W.
        Patent urachus: with the report of two additional cases.
        J Urol. 1944; 51: 424-430
        • Seeley S.F.
        • Lyman I.R.
        Patent omphalomesenteric duct in an adult.
        Am J Surg. 1950; 80: 458-461
        • Kern A.B.
        Primary omphalitis in an adult.
        AMA Arch Derm. 1958; : 297-298
        • Tanenbaum M.H.
        Urachus cyst demonstrated by roentgenogram.
        JAMA. 1969; 210: 905
        • Wyatt A.P.
        An unusual inflammatory tumour of the umbilicus.
        Br J Surg. 1962; 89: 110-111
        • Cullen T.S.
        Embryology, anatomy and diseases of the umbilicus together with diseases of the urachus.
        Saunders, Philadelphia and London1916
        • Clery A.P.
        • Clery A.B.
        Pilonidal disease of the umbilicus.
        Br J Surg. 1963; 51: 666-668
        • Colapinto N.D.
        Umbilical pilonidal sinus.
        Br J Surg. 1977; 64: 494-495
        • Hicken N.F.
        • Best R.R.
        Pyoumbilicus associated with umbilical concretions.
        Ann Surg. 1937; 105: 539-548
        • Constantian H.M.
        • Amaral E.L.
        Urachal cyst; case report.
        J Urol. 1971; 106: 429-431
        • Sanders R.C.
        • Oh K.S.
        • Dorst J.P.
        B-Scan ultrasound: positive and negative contrast material evaluation of congenital urachal anomaly.
        Am J Roentgen Radium Ther Nucl Med. 1974; 120: 448-452
        • Leyson J.F.
        Calcified urachal cyst.
        Br J Urol. 1985; 57: 438
        • Ney C.
        • Friedenberg R.M.
        Radiographic findings in anomalies of the urachus.
        J Urol. 1968; 99: 288-291
        • Jaffa A.J.
        • Noy S.
        • Peyser M.R.
        Preoperative sonographic diagnosis of infected urachal cyst in a parous woman.
        Am J Obstet Gynecol. 1984; 149: 223
        • Amparo E.J.
        • Cohen M.S.
        • Fagan C.J.
        Case report: benign urachal cyst in an adult.
        J Comput Assist Tomogr. 1982; 6: 1025-1027
        • Rich R.H.
        • Hardy B.E.
        • Filler R.M.
        Surgery for anomalies of the urachus.
        J Pediatr Surg. 1983; 18: 370-372