Understanding umbilical cystic disease in infants

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Nguyen Minh Tuan - Pediatrician - Department of Pediatrics - Neonatology - Vinmec Danang International General Hospital.

1. Learn about umbilical cysts

What is the umbilical cord? The urachal tube originates from the urogenital sinus formed during the fetal period from the navel to the bladder. Usually this tube will regress before birth. However, there are some cases after birth, this tube does not regress, but forms abnormalities of the urachal tube, including: open urachal tract (50%), urachal cyst (30%), urachal sinus umbilical cord (15%) and vesico-urachal diverticulum (5%). Umbilical cyst is a condition in which the urachal tube does not recede but exists and dilates the part of the urachal tube between the bladder and the navel, forming a urachal cyst. Although urachal cysts are present from birth, most urachal cystic diseases are detected in adulthood.

Complications of urachal cysts include infectious urachal cysts due to long-standing cysts causing extensive infection along the midline around the lower abdomen, pelvic infection, umbilical urine leakage, umbilical cord infection, and possibly umbilical cord infection. cancerous. In order to detect umbilical cystic disease early to limit the risk of inflammation and cancer, patients with abnormal signs in the umbilicus and below the umbilicus, especially children, should be detected, examined and examined. perform appropriate paraclinical procedures such as ultrasound, computed tomography scan for accurate diagnosis, then treatment has good results, leaving no sequelae and the risk of cancer. Is the urachal tube healed? The umbilical cord does not go away on its own, but needs to be surgically removed.

2. Diagnosis of urachal cyst

Functional symptoms: the baby comes to the doctor because the navel is wet continuously since birth (clear fluid, clearly appearing when the baby cries or coughs); or have a tumor below the navel. Clinical examination revealed wet umbilicus, inflamed peri-umbilical tissue. Press on the area above the pubic bone to see urine leaking through the navel. Feel the tumor below the navel. Abdominal ultrasound: can see the hypogastric tube structure, communicating the umbilicus with the bladder; cyst between the navel and the bladder; diverticulum at the base of the bladder. Computed tomography showed an umbilical cyst.

3. Treatment of urachal cysts

Surgical treatment is essential to prevent complications that can be caused by umbilical cord disease. Treatment of umbilical cord infection before surgery Surgical principles: surgery to remove the cyst, suture the bottom of the bladder. Indications for surgery for all cases of urachal-umbilical tube disease, including urachal cysts. The surgical process to expose the urachal canal: dissect the skin and subcutaneous tissue, enter the anterior wall of the bladder by the midline below the umbilicus, find the urachal tube at the base of the bladder. Proceed to remove the lesions of the urachal-umbilical canal, suture the bladder bottom. Finally stop bleeding, close the incision. After surgery: use antibiotics, change dressings daily Post-operative complications: Bleeding, wound infection needs to stop bleeding, antibiotics, wound care Still leaking urine at the navel needs to be checked and re-treated. Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading doctors, modern equipment and technology, but also stands out for its examination and consulting services. and comprehensive, professional medical treatment; civilized, polite, safe and sterile medical examination and treatment space.
Master. Doctor. Nguyen Minh Tuan has over 27 years of experience in the field of Pediatrics. Doctor was former Deputy Department of Pediatrics - Da Nang Obstetrics and Gynecology Hospital before working as a Pediatrician at the Department of Pediatrics - Neonatology - Vinmec Danang International General Hospital as it is today.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.