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Issue: No. 90 (2025): Kỷ niệm 10 năm thành lập Tạp chí Y Dược học Cần Thơ 2015-2025
Section: Article
DOI: 10.58490/ctump.2025i90.3962
Date Published: 25/08/2025
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Nguyen, T. T. L., Hoang, M. H., Nguyen, T. A., & Nguyen, V. H. (2025). EVALUATION OF TREATMENT OUTCOMES FOR PATENT URACHUS IN CHILDREN. Cantho Journal of Medicine and Pharmacy, 90, 131-136. https://doi.org/10.58490/ctump.2025i90.3962

EVALUATION OF TREATMENT OUTCOMES FOR PATENT URACHUS IN CHILDREN

Thi Truc Linh Nguyen1, , Minh Hung Hoang1, Tai An Nguyen1, Viet Hung Nguyen1
1 University of Medicine and Pharmacy at Ho Chi Minh City

Main Article Content

Abstract

Background: Patent urachus is a rare congenital anomaly caused by the incomplete regression of the urachus, which can lead to severe complications if not diagnosed and treated promptly. Objective: To evaluate the diagnostic characteristics and treatment outcomes of patent urachus in children at Children's Hospital 1. Materials and methods: A retrospective descriptive study was conducted on 164 pediatric patients diagnosed and treated for patent urachus at Children's Hospital 1. Clinical characteristics, imaging findings, treatment methods, and outcomes were collected and analyzed. Results: The male-to-female ratio was 2,3/1. The most common symptoms were umbilical discharge (40%) and lower abdominal mass (36%). Diagnosis was mainly based on ultrasound (85.7%) and computed tomography (33.3%). Treatment results were 100% successful after a mean follow-up of 45.3 months. Conservative treatment with complete removal of the urachus has good results for children with persistent symptoms or complications, usually over 6 months of age. Conclusion: Patent urachus can cause many complications if not diagnosed early. Conservative treatment is applied to children under 6 months of age and without complications. Radical surgery to remove the urachus cyst when the patient has persistent symptoms and complications.  

Keywords

Patent urachus, children, laparoscopic surgery, treatment urachus

Article Details

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