Pediatric Surgical Associates
Appointments - Call 318-212-5880
Pediatric Surgical Associates
Services

Urachal Remnant

Usually seen in infancy and early childhood, urachal remnant occurs when the urachus, or tube connecting the bladder to the umbilicus during fetal development, fails to close.

Causes:

During the 4th – 5th month of fetal development, the urachus usually closes. If it does not, 3 things can happen:

  1. Urachal cyst – Occurs in 30% of cases. The urachus closes without an opening to the bladder, developing a residual sac, or cyst, underneath the umbilicus.
  2. Urachal sinus – The urachus partially closes, but the remainder of the tube opens to the umbilicus and/or to the bladder.
  3. Patent urachus – Occurs in 50% of cases. A communication between the bladder and umbilicus remains, called a fistula.

Symptoms:

  • Thin, light yellow, watery discharge from the umbilicus
  • If a cyst, can present as a tender, swollen mass at the umbilicus. Often gets infected.
  • If a sinus or patent fistula, urine can drain from the umbilicus.

Problems that can occur from urachal remnants:

  • Infection
  • Slight risk of cancer

Treatment:

Surgical removal of the entire urachal cyst and/or tract.

Medical Representations
Please be aware that the information provided on this site is to supplement the care provided by your physician. It is not intended nor implied to be a substitute for professional medical advice. The use of this Site does not create a physician-patient or provider-patient relationship nor is it intended to replace a health professional-patient relationship. You should always consult with a professional for diagnosis and treatment of any health problems. CALL YOUR HEALTHCARE PROVIDER OR GO TO THE CLOSEST EMERGENCY ROOM IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. You should not disregard any advice or treatment from your healthcare professional based on your interpretation of what you may read on the Site.
Our Doctors
We look forward to the privilege of treating your young one.