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Cyst of an urakhus

Urakhus Киста урахуса может достигать величины человеческого кулака represents the uric channel combining a bladder of the child with amniotic waters at his pre-natal development. On 4-5 month of pregnancy, in development of a fruit, урахус, as a rule, grows and forms a median umbilical sheaf. At newborn children and adults on site the urakhus can be seen obliterated bespolostny тяж, moving ahead from a bladder top to a navel, however, in certain cases the full union of body does not occur that leads to certain pathologies. Treat them:

Umbilical fistula (at not fusion of a part of an urakhus, closest to a navel). This option of anomaly is characterized by the regular allocations in a navel leading to his irritation;
Vesicoumbilical fistula (arises at a full patent urachus). In this case constant release of urine in a navel is noted;
Cyst of an urakhus. This not fusion of an uric channel creating the cystous education filled with a mucous secret in its middle part. The cyst of an urakhus can reach the size of a human fist.

Statistically, the cyst of an urakhus is diagnosed for men by 3 times more often than at patients is a female.

Symptoms of a cyst of an urakhus

This urological disease comes to light hardly: clinically the cyst of an urakhus can not be shown a long time, keeping at the same time the small sizes. At infection of contents of a cyst of an urakhus (meconium, serous liquid, slime) there can be its suppuration which is followed by rise in temperature, painful feelings in the bottom of a stomach. At the expressed inflammatory process there can be symptoms of the general intoxication, abdominal pains, a dermahemia under a navel.

The big cyst of an urakhus can be shown as tumorous education at a palpation of an abdominal wall in a navel. The suppurated cyst can break in an abdominal cavity (and to become the reason of development of peritonitis), a bladder (forming a vesical fistula) or through a front abdominal wall (creating umbilical fistula). Umbilical fistula is shown by the periodic release of pus from an umbilical opening increasing at a natuzhivaniye or pressing by area of an umbilical ring, irritation, moknutiy skin and also a current of an omphalitis.

Diagnosis of a cyst of an urakhus

In the course of Оперативное лечение заболевания заключается в удалении кисты урахуса diagnosis it is important to distinguish a disease from an umbilical cyst, a diverticulum of a bladder, hernia of a front abdominal wall in the presence of similar symptoms with a cyst of an urakhus. With this purpose to the patient carrying out a tsistoskopiya, tsistografiya, MRT, ultrasonography of a bladder, and also a fistulografiya - the research allowing to find out whether the message with a bladder - made only after subsiding of inflammatory manifestations has not overgrown uric flow are appointed.

At an empyema of cyst of an urakhus patients often come to hospital with a symptom of "acute abdomen" - at the same time it is possible to establish the correct diagnosis only in the course of carrying out a laparotomy or a laparoscopy.

Treatment of a cyst of an urakhus

Treatment of a disease - symptomatic not fusion of an uric channel - operational, consisting at a distance cysts of an urakhus. Operation is characterized by extra peritoneal excision of education. In case of its abscessing immediate opening and clarification of an abscess cavity is carried out, further, already in the "cold" period standard operation of a cyst of an urakhus is carried out.

At development of an omphalitis or formation of umbilical fistula by specialists the course of conservative therapy is appointed (bandagings, Ural federal district, reception of antibiotics) and only after subsiding of symptoms of an inflammation surgical intervention is carried out.

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