ArticleSurgery today2026
Surgical outcomes in adults with urachal remnants complicated by purulent omphalitis.
Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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11 authors.
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Abstract
Urachal remnants (UR) are clinically significant conditions with both infectious and malignant potential. However, the long-term outcomes of surgical treatment remain poorly documented. We retrospectively analyzed the clinicopathological features and long-term outcomes of 14 adult patients with UR complicated by purulent omphalitis. The cohort comprised 12 men and 2 women, with a median age of 32.5 years (range, 21-69 years). Non-elective surgery was performed in seven patients. A histopathological examination confirmed microscopic urachal structures in 10 cases, whereas marked inflammatory infiltration precluded definitive identification of urachal tissue in four cases. All patients underwent meticulous postoperative monitoring. During a median follow-up of 78 months (range, 46-183 months), no recurrence of omphalitis was observed. These findings suggest that surgical resection may achieve durable disease control even without the histological confirmation of urachal tissue.
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