A patent urachus is one of the spectrum of congenital urachal anomalies. It has occasionally been termed urachal fistula. Clinical presentation A patent urachus is often diagnosed in neonates when urine is noted leaking from the umbilicus. The umbilicus may also have an abnormal appearance on physical exam.
Patent urachus refers to one condition in a rare spectrum of disorders referred to as urachal anomalies. These conditions result from the failure of the involution of normal embryologic tissues that serve to empty the fetal bladder. The location and amount of persistent tissue dictate the presenting symptoms.
Patent urachus repair is surgery to fix a bladder defect. In an open (or patent) urachus, there is an opening between the bladder and the belly button (navel). The urachus is a tube between the bladder and the belly button that is present before birth. In most cases, it closes along its full length before the baby is born.
Patent urachuses are more common in children. However, its presentation in adults is rare. The most common presention is discharge from the umbilicus but the most alarming symptom is lower abdominal pain and fever with chills. In adults, on imaging, a patient urachus is hypoechoic band between the urinary bladder and umbilicus.
The symptoms of patent urachus are not the same in all horses. It depends on the type and severity of the condition. However, most often the signs will include: Urinary incontinence (unable to control urination) Dribbling urine from the umbilicus (belly button) Urinary tract infections (fever, pain, swelling, cloudy discharge) Depression.
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