Navel Urachus - what is it? You will find the answer to this difficult medical question in the materials of this article. We will also tell you about what can cause a disease of such a peculiar organ, how it should be diagnosed and treated.
General information, description of the embryonic organ
Navel Urachus - what is it? The term in question (medical) is of Greek origin. As you know, it consists of two syllables, which literally translate as “urine” and “pour out”.
Navel Urachus - what does this word mean? Another name for this organ is “urinary duct”. Experts say that urachus is a tubular formation that gradually develops in the embryo. It connects the front of the bladder and the navel and is located between the peritoneum and the transverse fascia of the abdomen. Such an organ is formed in the fetus from the upper part of the allantois. The latter is also an embryonic respiratory organ. This is a kind of germinal membrane that develops from the ventral wall of the posterior intestine of the fetus. By the way, it is allantois that is involved in gas exchange with the environment and waste.
Fetal organ functions
Do you know why umbilicus urachus is needed? What is it? A photo of the education in question is presented in this article. According to experts, it is through this duct that fetal urine is released into the amniotic fluid.
After five months of fetal life, obliteration of the duct occurs. It ends at the immediate moment of birth (that is, 40 weeks of pregnancy). In this case, the median umbilical ligament is formed.
Abnormal development of the urinary duct
In what cases does navel urachus develop abnormally? What is it? The reasons for this deviation should only be determined by experienced professionals.
Under certain conditions, the duct in question is not completely blocked. As a result, the following anomalies are formed:
- umbilical fistula;
- cystic umbilical fistula;
- bladder diverticulum;
- Urachus cyst.
What are these deviations and how to treat them? We will tell about it right now.
Umbilical fistula (causes, symptoms, treatment)
This phenomenon is observed when part of the urachus is not shortened, which is located in the navel. Symptoms of such an anomaly are manifested by weeping of the wound.
What other signs are inherent in the umbilical fistula? Urachus of the navel (which we will tell in adults right now) with non-closure manifests itself in the form of redness, swelling of the skin around the navel and serous discharge, which are observed in the umbilical fossa. In severe cases, they become purulent or bloody. It should also be noted that such an anomaly is characterized by an increase in the patient's body temperature to 38-39 ° C.
How to treat the disease in question? With navel inflammation, an urgent consultation with an experienced surgeon is required. If necessary, then carry out bacteriological culture of the discharge. The method of treatment for this disease depends on the cause of the inflammation.
Usually, umbilical fistula is treated through surgery.
Bubble-umbilical fistula: how to treat?
Such an anomaly is characterized by complete non-closure of urachus. This species is characterized by regular urine output from the wound.
The vesicle fistula of the umbilicus is not treated with a conservative method. To eliminate this pathological phenomenon, surgical intervention is required.
Bladder diverticulum (signs, therapy)
For such an anomaly, a bag-like protrusion of the walls of the bladder is characteristic. As a rule, congenital diverticula are solitary. They are located on the posterolateral wall and are connected to the main cavity through a long neck.
As for the acquired disease, then, as a rule, it is plural.
How to eliminate the pathology of such a peculiar organ as navel umbra? What is it? Surgical treatment of a diverticulum of the bladder , especially if it promotes urinary retention and causes the development of cystitis. The prognosis of the operation is favorable.
It should also be noted that the treatment strategy for the acquired diverticulum should include all measures that are aimed at eliminating the causes of infravesical obstruction.
Urachus cyst
Now you know what the navel urachus is. What is it, we explained above. One of the most frequently developing abnormalities of this organ is a cyst. It is formed due to partial non-closure of the embryonic urinary duct. In this case, a cystic cavity is formed in its middle part, which is subsequently filled with mucous secretion.
When an urachus cyst is infected, a noticeable tumor forms in the lower abdomen. Also, the patient develops pain, fever, dysuric disorders and symptoms of general intoxication.
When abscessed, such a pathological cavity can burst into the bladder or abdominal cavity. Moreover, through the anterior abdominal wall, it can go outside, forming an umbilical fistula.
How is the considered deviation diagnosed? Diagnosis of urachus cysts is carried out in the process of cystography, CT and ultrasound of the bladder.
With an exacerbation of this disease, physiotherapeutic and antibacterial treatment is mandatory. After the inflammatory process subsides, excision of the cyst is indicated.
Recovery period
As mentioned above, the abnormal development of navel urachus is not treated with conservative methods. Such a deviation can be congenital and acquired. In the acute period, surgical intervention is contraindicated. Usually, the operation is performed after the inflammatory process subsides.
Only an experienced surgeon should carry out procedures for excising a cyst, diverticulum and other things. In most cases, such operations are well tolerated by patients. Moreover, the result is almost always favorable.
After surgery, the doctor must instruct the patient about the recovery period. The patient is forbidden to engage in physical labor and lift weights. He should spend more time in bed, lying on his back. The patient is also prescribed a strict diet.
If all the recommendations of the doctor are followed, the excision site should heal successfully in the shortest possible time. If the patient feels pain and discomfort in the abdomen, then you should immediately contact the surgeon who performed the operation. The same applies to cases of discharge from the navel (blood, pus, etc.).
For the speedy recovery of the patient, various vitamin and mineral complexes can be prescribed to him.