Pathology of the urachus. History of the issue and current state of the problem

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Based on the analysis of literature sources, modern data are presented on the nosological structure of urachus diseases in adults and children, diagnostic methods, as well as treatment tactics for various anatomical variants of anomalies in the development of the urinary duct. A modern classification of urachal malformations caused by disorders of its obliteration is presented. Various modifications of the laparoscopic approach are considered for the most common types of this pathology. The reasons for the development of malignant neoplasms from the urachus tissue, including in the gender aspect, are described, and a comparative assessment of the methods of surgical treatment of urachus tumors is given.

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作者简介

Dmitriy Shchedrov

Regional Pediatric Clinical Hospital

Email: shedrov.dmitry@yandex.ru
ORCID iD: 0000-0002-0686-0445
SPIN 代码: 7354-7379

Dr. Sci. (Med.), Head of the Pediatric Urology and Andrology Unit

俄罗斯联邦, 27, Tutaevskoe highway, Yaroslavl, 150042

Igor Shormanov

Yaroslavl State Medical University

Email: i-s-shormanov@yandex.ru
ORCID iD: 0000-0002-2062-0421
SPIN 代码: 7772-8420
Scopus 作者 ID: 6507085029

Dr. Sci. (Med.), Professor, Head of the Department of Urology with Nephrology

俄罗斯联邦, 5, Revoljucionnaja street, Yaroslavl, 150000

Sergey Kotov

Pirogov Russian National Research Medical University

Email: wasker93@yandex.ru
ORCID iD: 0000-0002-8706-7317
SPIN 代码: 4410-2226

Dr. Sci. (Med.), Professor, Head of the Department of Urology and Andrology, Head of the University Urological Clinic

俄罗斯联邦, 1, Ostrovityanova street, Moscow, 117997

Eugene Morozov

Regional Pediatric Clinical Hospital

编辑信件的主要联系方式.
Email: wasker93@gmail.com
ORCID iD: 0000-0003-3451-5494
SPIN 代码: 8824-5330

Pediatric surgeon, Department of Pediatric Surgery

俄罗斯联邦, 27, Tutaevskoe highway, Yaroslavl, 150042

参考

  1. Poddubny IV, Isaev YA. Urachal anomalies in children: diagnostics and treatment. Literature review. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):83–92. (In Russ.) doi: 10.17816/psaic163
  2. Gusev AA, Yacyk SP, Kirgizov IV, et al. Urachus pathology: literature review, modern aspects of the surgical manual and own clinical experience of laparoscopic treatment. Pediatrics (Suppl. Consilium Medicum). 2018;(3):80–84. (In Russ.) doi: 10.26442/2413-8460_2018.3.80-84
  3. Olshanetskyi OO, Novoskoltseva IG, Levina VP, et al. Suppurating urachus cysts. Surgery of Ukraine. 2014;(2):121–124. (In Russ.)
  4. Dethlefs CR, Abdessalam SF, Raynor SC, et al. Conservative management of urachal anomalies. J Pediatr Surg. 2019;54(5): 1054–1058. doi: 10.1016/j.jpedsurg.2019.01.039
  5. Elkbuli A, Kinslow K, Ehrhardt JD, Jr, et al. Surgical management for an infected urachal cyst in an adult: Case report and literature review. Int J Surg Case Rep. 2019;57:130–133. doi: 10.1016/j.ijscr.2019.03.041
  6. Koreiba KA. Oslozhnennoe techenie kisty urakhusa. Kazan medical journal. 2007;88(3):277–278. (In Russ.) doi: 10.1111/j.1463-6395.2007.00273.x
  7. Siow SL, Sha HL, Wong CM. Abdominal tuberculosis manifested as tuberculosis of the urachal sinus in an adolescent and the role of laparoscopy in the management: a rare case report. BMC Infect Dis. 2016;16:68. doi: 10.1186/s12879-016-1405-6
  8. Luschka H. Anatomie des Menschen in Rücksicht auf das Bedürfnis der praktischen Heilkunde. Tubingen, Laupp&Siebeck, 1862. 227 p. (In Germ.)
  9. Wutz JB. Über Urachus und Urachuscysten. Virchows Arch f pathol Anat u Physiol. 1883;92:387–423. (In Germ.) doi: 10.1515/9783112388204-023
  10. Binnie JF. Development of the urachus. JAMA. 1906; XLVII(2):109–110. doi: 10.1001/jama.1906.25210020029002h
  11. Begg RC. The Urachus: its Anatomy, Histology and Development. J Anat. 1930;64(2):170–183.
  12. Gami BL, Biswas S. An infected urachal cyst. BMJ Case Rep. 2013:2012007105. doi: 10.1136/bcr-2012-007105
  13. Jeong HJ, Han DY, Kwon WA. Laparoscopic Management of Complicated Urachal Remnants. Chonnam Med J. 2013;49(1):43–47. doi: 10.4068/cmj.2013.49.1.43
  14. Rees HI. Infected urachal cysts. Br Med J. 1953;2(4829):184–186. doi: 10.1136/bmj.2.4829.184
  15. Blichert-Toft M, Nielsen OV. Congenital patient urachus and acquired variants. Diagnosis and treatment. Review of the literature and report of five cases. Acta Chir Scand. 1971;137(8):807–814.
  16. Risher WH, Sardi A, Bolton J. Urachal abnormalities in adults: the Ochsner experience. South Med J. 1990;83(9):1036–1039. doi: 10.1097/00007611-199009000-00014
  17. Schubert GE, Pavkovic MB, Bethke-Bedürftig BA. Tubular urachal remnants in adult bladders. J Urol. 1982;127(1):40–42. doi: 10.1016/s0022-5347(17)53595-8
  18. Mahato NK, Mittal MM, Aggarwal R, Munjal KM. Encysted urachal abscess associated with a premalignant lesion in an adult male. UroToday Int J. 2010;3(5):222–224. doi: 10.3834/uij.1944-5784.2010.10.01
  19. Seo IY, Han DY, Oh SJ, Rim JS. Laparoscopic excision of a urachal cyst containing large stones in an adult. Yonsei Med J. 2008;49(5):869–871. doi: 10.3349/ymj.2008.49.5.869
  20. Tazi F, Ahsaini M, Khalouk A, et al. Abscess of urachal remnants presenting with acute abdomen: a case series. J Med Case Rep. 2012;6:226. doi: 10.1186/1752-1947-6-226
  21. Choi YJ, Kim JM, Ahn SY, et al. Urachal anomalies in children: a single center experience. Yonsei Med J. 2006;47(6):782–786. doi: 10.3349/ymj.2006.47.6.782
  22. Mukaseeva TV. Ul’trazvukovaya diagnostika kist i kistopodobnykh obrazovanii bryushnoi polosti u detei pervogo polugodiya zhizni [dissertation]. Moscow, 2019. Available from: https://www.dissercat.com/content/ultrazvukovaya-diagnostika-kist-i-kistopodobnykh-obrazovanii-bryushnoi-polosti-u-detei-pervo. (In Russ.)
  23. Yu JS, Kim KW, Lee HJ, et al. Urachal remnant diseases: spectrum of CT and US findings. Radiographics. 2001;21(2):451–461. doi: 10.1148/radiographics.21.2.g01mr02451
  24. Cilento BG Jr, Bauer SB, Retik AB, et al. Urachal anomalies: defining the best diagnostic modality. Urology. 1998;52(1):120–122. doi: 10.1016/s0090-4295(98)00161-7
  25. Gleason JM, Bowlin PR, Bagli DJ, et al. A comprehensive review of pediatric urachal anomalies and predictive analysis for adult urachal adenocarcinoma. J Urol. 2015;193(2):632–636. doi: 10.1016/j.juro.2014.09.004
  26. Sukhotnik I, Aranovich I, Mansur B, et al. Laparoscopic Surgery of Urachal Anomalies: A Single-Center Experience. Isr Med Assoc J. 2016;18(11):673–676.
  27. Yiee JH, Garcia N, Baker LA, et al. A diagnostic algorithm for urachal anomalies. J Pediatr Urol. 2007;3(6):500–504. doi: 10.1016/j.jpurol.2007.07.010
  28. Dmitrieva EV, Bulanov MN, Blinov IA, Lykov VE. Ultrasound of urachal anomalies in children. Ultrasound and functional diagnostics. 2016;(2):43–56. (In Russ.)
  29. Yohannes P, Bruno T, Pathan M, Baltaro R. Laparoscopic radical excision of urachal sinus. J Endourol. 2003;17(7):475–479. Discussion 479. doi: 10.1089/089277903769013612
  30. Heuga B, Mouttalib S, Bouali O, et al. Prise en charge des résidus de l’ouraque au cours de l’enfance: l’exérèse chirurgicale est-elle obligatoire? Prog Urol. 2015;25(10):603–606. (In French.) doi: 10.1016/j.purol.2015.05.004
  31. Ashley RA, Inman BA, Routh JC, et al. Urachal anomalies: a longitudinal study of urachal remnants in children and adults. J Urol. 2007;178(4):1615–1618. doi: 10.1016/j.juro.2007.03.194
  32. McCollum MO, Macneily AE, Blair GK. Surgical implications of urachal remnants: Presentation and management. J Pediatr Surg. 2003;38(5):798–803. doi: 10.1016/jpsu.2003.50170
  33. Snyder CL. Current management of umbilical abnormalities and related anomalies. Semin Pediatr Surg. 2007;16(1):41–49. doi: 10.1053/j.sempedsurg.2006.10.006
  34. Mauro de Queiroz G, Marcelo de Queiroz G, Carlyle Marques B. Patent Urachus Presenting as Acute Abdomen. J Med Ultrasound. 2015;23(4):189–192. doi: 10.1016/j.jmu.2015.08.003
  35. Pesce C, Costa L, Musi L, et al. Relevance of infection in children with urachal cysts. Eur Urol. 2000;38(4):457–460. doi: 10.1159/000020324
  36. Evseev MA, Fomin VS, Nikitin VE, et al. Laparoskopicheskoe udalenie nagnoivsheisya kisty urakhusa. Klinicheskoe nablyudenie i obzor literatury. Surgical practice. 2015;(2):37–41. (In Russ.)
  37. Zanghì A, Cavallaro A, Di Vita M, et al. An unique case of dyspareunia leading to the diagnosis of urachal cyst in a nulliparous 28-year-old woman. Clin Ter. 2011;162(5):439–441.
  38. Efthimiou I, Charalampos M, Kazoulis S, et al. Urachal carcinoma presenting with chronic mucusuria: a case report. Cases J. 2008;1(1):288. doi: 10.1186/1757-1626-1-288
  39. Rodrigues JC, Gandhi S. Don’t get caught out! A rare case of a calcified urachal remnant mimicking a bladder calculus. J Radiol Case Rep. 2013;7(3):34–38. doi: 10.3941/jrcr.v7i3.1230
  40. Jindal T, Kamal MR, Jha JK. Tuberculosis of the urachal cyst. Korean J Intern Med. 2013;28(1):103–105. doi: 10.3904/kjim.2013.28.1.103
  41. Soyster M, Ristau BT, Girard ED, et al. An unlikely connection: Rare case of colo-urachal fistula, surgical management, and review of the literature. Urol Case Rep. 2018;18:9–10. doi: 10.1016/j.eucr.2018.02.015
  42. Rapoport D, Ross A, Goshko V, McAuley I. Urachal-sigmoid fistula associated with diverticular disease. Can Urol Assoc J. 2007;1(1):52–54. doi: 10.5489/cuaj.40
  43. Mesrobian HG, Zacharias A, Balcom AH, Cohen RD. Ten years of experience with isolated urachal anomalies in children. J Urol. 1997;158(3):1316–1318. doi: 10.1097/00005392-199709000-00173
  44. Dethlefs CR, Abdessalam SF, Raynor SC, et al. Conservative management of urachal anomalies. J Pediatr Surg. 2019;54(5): 1054–1058. doi: 10.1016/j.jpedsurg.2019.01.039
  45. Nogueras-Ocaña M, Rodríguez-Belmonte R, Uberos-Fernández J, et al. Urachal anomalies in children: surgical or conservative treatment? J Pediatr Surg. 2013;10(3):522–526. doi: 10.1016/j.jpurol.2013.11.010
  46. Ueno T, Hashimoto H, Yokoyama H, et al. Urachal anomalies: ultrasonography and management. J Pediatr Surg. 2003;38(8): 1203–1207. doi: 10.1016/s0022-3468(03)00268-9
  47. Pinthus JH, Haddad R, Trachtenberg J, et al. Population based survival data on urachal tumors. J Urol. 2006;175(6):2042–2047. doi: 10.1016/S0022-5347(06)00263-1
  48. Wein AJ, Kavoussi LR, Partin AW, Peters CA (editors). Campbell-Walsh Urology. Eleventh edition. Elsevier, 2016. 3175–3177 p.
  49. Passoni S, Guerra A, Marengo M. Laparoscopic treatment of an infected urachalcyst and diverticulum in a young adult: Presentation of a case and review of the literature. Int J Surg Case Rep. 2018;49:87–90. doi: 10.1016/j.ijscr.2018.06.018
  50. Kwok CM. Infected Urachal Cyst in an Adult: A Laparoscopic Approach. Case Rep Gastroenterol. 2016;10(2):269–274. doi: 10.1159/000446642
  51. Dandekar NP, Dalal AV, Tongaonkar HB, Kamat MR. Adenocarcinoma of bladder. Eur J Surg Oncol. 1997;23(2):157–160. doi: 10.1016/s0748-7983(97)80012-1
  52. Yoo KH, Lee SJ, Chang SG. Treatment of infected urachal cysts. Yonsei Med J. 2006;47(3):423–427. doi: 10.3349/ymj.2006.47.3.423
  53. Newman BM, Karp MP, Jewett TC, Cooney DR. Advances in the management of infected urachal cysts. J Pediatr Surg. 1986;21(12):1051–1054. doi: 10.1016/0022-3468(86)90006-0
  54. Trondsen E, Reiertsen O, Rosseland AR. Laparoscopic excision of urachal sinus. Eur J Surg. 1993;159(2):127–128.
  55. Bertozzi M, Nardi N, Prestipino M, et al. Minimally invasive removal of urachal remnants in childhood. Pediatr Med Chir. 2009;31(6):265–268.
  56. Bertozzi M, Recchia N, Di Cara G, et al. Ultrasonographic diagnosis and minimally invasive treatment of a patent urachus associated with a patent omphalomesenteric duct in a newborn: A case report. Medicine (Baltimore). 2017;96(30): e7087. doi: 10.1097/MD.0000000000007087
  57. Chiarenza SF, Bleve C. Laparoscopic management of urachal cysts. Transl Pediatr. 2016;5(4):275–281. doi: 10.21037/tp.2016.09.10
  58. Cutting CW, Hindley RG, Poulsen J. Laparoscopic management of complicated urachal remnants. BJU Int. 2005;96(9):1417–1421. doi: 10.1111/j.1464-410X.2005.05856.x
  59. Kim DK, Lee JW, Park SY, et al. Initial experience with robotic-assisted laparoscopic partial cystectomy in urachal diseases. Korean J Urology. 2010;51(5):318–322. doi: 10.4111/kju.2010.51.5.318
  60. Madeb R, Knopf JK, Nicholson C, et al. The use of robotically assisted surgery for treating urachal anomalies. BJU Int. 2006;98(4):838–842. doi: 10.1111/j.1464-410X.2006.06430.x
  61. Navarrete S, Sánchez IA, Sánchez SR, et al. Treatment of urachal anomalies: a minimally invasive surgery technique. JSLS. 2005;9(4):422–425.
  62. Antonov AV, Mal’nev DA. Nash opyt laparoskopicheskogo lecheniya patologii urakhusa. Urologicheskie vedomosti. 2015;5(1):53. (In Russ.) doi: 10.17816/uroved5153-53
  63. Cadeddu JA, Boyle KE, Fabrizio MD, et al. Laparoscopic management of urachal cysts in adulthood. J Urol. 2000;164(5):1526–1528. doi: 10.1016/S0022-5347(05)67020-6
  64. Sheldon CA, Clayman RV, Gonzalez R, et al. Malignant urachal lesions. J Urol. 1984;131(1):1–8. doi: 10.1016/s0022-5347(17)50167-6
  65. Tareev YuS. Obrazovaniya urakhusa: operativnoe lechenie. Daidzhest urologii. 2019;(3):16–17. (In Russ.)
  66. Lee SR, Kang H, Kang MH, et al. The Youngest Korean Case of Urachal Carcinoma. Case Rep Urol. 2015;2015:707456. doi: 10.1155/2015/707456
  67. Ghazizadeh M, Yamamoto S, Kurokawa K. Clinical features of urachal carcinoma in Japan: review of 157 patients. Urol Res. 1983;11(5):235–238. doi: 10.1007/BF00272286
  68. Chen D, Li Y, Yu Z, et al. Investigating urachal carcinoma for more than 15 years. Oncol Lett. 2014;8(5):2279–2283. doi: 10.3892/ol.2014.2502
  69. Ekwueme KC, Parr NJ. Infected urachal cyst in an adult: a case report and review of the literature. Cases J. 2009;2:6422. doi: 10.4076/1757-1626-2-6422
  70. Wright JL, Porter MP, Li CI, et al. Differences in survival among patients with urachal and nonurachal adenocarcinomas of the bladder. Cancer. 2006;107(4):721–728. doi: 10.1002/cncr.22059
  71. Ashley RA, Inman BA, Sebo TJ, et al. Urachal carcinoma: clinicopathologic features and long-term outcomes of an aggressive malignancy. Cancer. 2006;107(4):712–720. doi: 10.1002/cncr.22060
  72. Ebrahim A, Kondapalli N, Webster WS. Radical cystoprostatectomy to treat urachal carcinoma. Proc (Bayl Univ Med Cent). 2019;32(4):579–581. doi: 10.1080/08998280.2019.1646592
  73. Duan F, Zhai W, Zhang B, Guo S. Urachal carcinoma: Impact of recurrence pattern and lymphadenectomy on long-term outcomes. Cancer Med. 2020;9(12):4166–4174. doi: 10.1002/cam4.3059
  74. Zhao XR, Gao C, Zhang Y, et al. Urachal adenocarcinoma that metastasized to breast was misinterpreted as primary breast mucinous carcinoma: A rare case report and literature review. Medicine (Baltimore). 2016;95(35): e4612. doi: 10.1097/MD.0000000000004612.

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