Urachus

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Urachus
Gray1156.png
Vertical section of bladder, penis, and urethra. Urachus is seen at top
Illu quiz bladder 01.jpg
Urachus is #1
Gray's p.1213
MeSH Urachus

The urachus is a fibrous remnant of the allantois, a canal that drains the urinary bladder of the fetus that joins and runs within the umbilical cord.[1] The fibrous remnant lies in the space of Retzius, between the transversalis fascia anteriorly and the peritoneum posteriorly.

Formation[edit]

The vesico-urethral portion of the urogenital sinus absorbs the ends of the Wolffian ducts and the associated ends of the renal diverticula, and these give rise to the trigone of the bladder and part of the prostatic urethra. The remainder of the vesico-urethral portion forms the body of the bladder and part of the prostatic urethra; its apex is prolonged to the umbilicus as a narrow canal, which later is obliterated as the urachus goes on to definitively form the median umbilical ligament (urachus).

Pathology[edit]

Failure for the lumen of the urachus to be filled in leaves a patent (open) urachus. The telltale sign is leakage of urine through the umbilicus. A patent urachus needs to be surgically removed. There are four anatomical cases

The urachus is also subject to neoplasia. Urachal adenocarcinoma is histologically similar to adenocarcinoma of the bowel.

Additional images[edit]

References[edit]

  1. ^ Larsen, "Human Embryology," 3rd ed., pg. 258
  2. ^ Le, Tao; Bhushan, Vikas; Vasan, Neil (2010). First Aid for the USMLE Step 1: 2010 (20th Anniversary ed.). USA: The McGraw-Hill Companies, Inc. p. 122. ISBN 978-0-07-163340-6. 
  3. ^ Guray, Sogut, et al. (2000) Urachal Cyst. Eastern Journal of Medicine 5(2):76-78.

External links[edit]

This article incorporates text from a public domain edition of Gray's Anatomy.