← All decks
Paediatric Surgery
Bladder Diverticula Urachal Anomalies and Other Unusual Co
Built from Puri — Pediatric Surgery and Pediatric Urology
What’s inside
4 sections · 44 slides
Overview
- What this topic covers
Bladder Diverticula
A pouch of mucosa herniating through the muscle
- What is a bladder diverticulum?
- Three ways a diverticulum forms
- Hutch (paraureteral) diverticula
- How diverticula cause trouble
- The obstructive vicious cycle
- Kansas City series (Evangelidis et al. 2005)
- Lessons from the Kansas City series
- More recent series
- Principles of management
Urachal Anomalies
Remnants of the fetal bladder-to-umbilicus channel
- What is the urachus?
- Normal closure — and what is left behind
- The four types of urachal anomaly
- The four anomalies, from most to least common
- How common are urachal remnants?
- Distribution of anomaly types across 11 modern series
- A key insight from the pooled series
- Clinical presentation
- Differential diagnosis
- Surgical exploration of a draining umbilicus
- Diagnostic approach: ultrasound first
- Choosing an imaging test
- The VCUG / reflux controversy
- Why excise? The classic argument
- Urachal carcinoma — the feared endpoint
- Urachal carcinoma by the numbers
- The case for conservative management
- Timing surgery: the NSQIP lesson
- Making the decision — and its risks
Other Unusual Bladder Conditions
Bladder duplication and the non-visualised fetal bladder
- Bladder duplication
- Complete vs incomplete — and the consequences
- Associations and workup
- Non-visualisation of the bladder on prenatal imaging
- The differential for an absent fetal bladder
- Key takeaways
- References (1/4)
- References (2/4)
- References (3/4)
- References (4/4)
- Pediatric Surgery and Pediatric Urology