Urachus
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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. The fibrous remnant lies in the space of Retzius, between the transverse fascia anteriorly and the peritoneum posteriorly. Development The part of the urogenital sinus related to the bladder and urethra absorbs the ends of the Wolffian ducts and the associated ends of the renal diverticula. This gives rise to the trigone of the bladder and part of the prostatic urethra. The remainder of this part of the urogenital sinus forms the body of the bladder and part of the prostatic urethra. The apex of the bladder stretches and is connected to the umbilicus as a narrow canal. This canal is initially open, but later closes as the urachus goes on to definitively form the median umbilical ligament. Clinical significance Failure of the inside of the urachus to be filled in leaves the urachus open. The telltale sign is leakage of urine thr ...
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Space Of Retzius
Retropubic space is a potential avascular space located between the pubic symphysis and the urinary bladder. The retropubic space is a preperitoneal space, located behind the transversalis fascia and in front of peritoneum . Other names for the retropubic space are "Cave of Retzius" or "Retzius' space", named after the Swedish anatomist Anders Retzius (1796-1860). The space is a useful landmark in different gynecological and urological surgeries. Structure The space is located in the pelvic region and is bounded by the following structures: *Anteriorly: Symphysis pubis *Laterally: Pubic rami and obturator internus muscles *Posteriorly: Urinary bladder *Floor: Anterior vagina (in women) and proximal urethra Function The retropubic space is a potential space. Compartmental Pressure The retropubic space is directly adjacent to the abdominal cavity and is hence affected with change in intra-abdominal pressure, which in turn affects the physiology of urination and continen ...
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Urachal Sinus
Umbilical-urachal sinus is a congenital disorder of the urinary bladder caused by failure of obliteration of proximal or distal part of the allantois, and the presentation of this anomaly is more common in children and rarer in adults. It is thought have been first described by Cabriolus in 1550. Complications * Infection, with possible abscess formation. * Concurrent occurrence of a tumour. See also * 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. The fibrous remnant lies in the space of Retzius, between the transverse fascia anteriorly and t ... References Congenital disorders of urinary system {{pathology-stub ...
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Urachal Cyst
A urachal cyst is a sinus remaining from the allantois during embryogenesis. It is a cyst which occurs in the remnants between the umbilicus and bladder. This is a type of cyst occurring in a persistent portion of the urachus, presenting as an extraperitoneal mass in the umbilical region. It is characterized by abdominal pain, and fever if infected. It may rupture, leading to peritonitis, or it may drain through the umbilicus. Urachal cysts are usually silent clinically until infection, calculi or adenocarcinoma develop. Symptoms and signs * Lower abdominal pain * Pain on urination * Persistent umbilical discharge * Fever * Urinary tract infection * Lump * Hematuria Diagnosis Urachal cysts are rare defects found mostly in young children and hence medical ultrasound of the abdomen, bladder and pelvis is the most used diagnostic tool combined with MRI scan and CT scan in older patients who can remain still during a scan. See also * urachus * cyst A cyst is a closed sac, havi ...
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Allantois
The allantois (plural ''allantoides'' or ''allantoises'') is a hollow sac-like structure filled with clear fluid that forms part of a developing amniote's conceptus (which consists of all embryonic and extraembryonic tissues). It helps the embryo exchange gases and handle liquid waste. The allantois, along with the amnion, chorion, and yolk sac (other extraembryonic membranes), identify humans and other mammals, birds, and other reptiles as amniotes. Fish and amphibians are anamniotes, and lack the allantois. In mammals the extraembryonic membranes are known as the fetal membranes. Function This sac-like structure, whose name is the New Latin equivalent of "sausage" (in reference to its shape when first formed) is primarily involved in nutrition and excretion, and is webbed with blood vessels. The function of the allantois is to collect liquid waste from the embryo, as well as to exchange gases used by the embryo. In mammals In mammals excluding egg-laying monotremes, the all ...
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Navel
The navel (clinically known as the umbilicus, commonly known as the belly button or tummy button) is a protruding, flat, or hollowed area on the abdomen at the attachment site of the umbilical cord. All placental mammals have a navel, although it is generally more conspicuous in humans. Structure The umbilicus is used to visually separate the abdomen into quadrants. The umbilicus is a prominent scar on the abdomen, with its position being relatively consistent among humans. The skin around the waist at the level of the umbilicus is supplied by the tenth thoracic spinal nerve (T10 dermatome). The umbilicus itself typically lies at a vertical level corresponding to the junction between the L3 and L4 vertebrae, with a normal variation among people between the L3 and L5 vertebrae. Parts of the adult navel include the "umbilical cord remnant" or "umbilical tip", which is the often protruding scar left by the detachment of the umbilical cord. This is located in the center of the ...
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Urachal Cancer
Urachal cancer is a very rare type of cancer arising from the urachus or its remnants. The disease might arise from metaplasic glandular epithelium or embryonic epithelial remnants originating from the cloaca region. It occurs in roughly about one person per 1 million people per year varying on the geographical region. Men are affected slightly more often than women mostly in the 5th decade of life but the disease can occur in also in other age groups. It can involve the urinary bladder, but is not bladder cancer in the usual sense. Urachal cancer can occur at any site along the urachal tract. Urachal cancer was mentioned by Hue and Jacquin in 1863 followed by an elaborate work by T. Cullen in 1916 about diseases of the umbilicus, while C. Begg further characterized urachal cancer in the 1930s. Detailed diagnostic and staging schemes were proposed by Sheldon et al. in 1984, which remain widely used today. Classification Urachal cancer usually is an adenocarcinoma (about 90%) mo ...
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The McGraw-Hill Companies, Inc
S&P Global Inc. (prior to April 2016 McGraw Hill Financial, Inc., and prior to 2013 The McGraw–Hill Companies, Inc.) is an American publicly traded corporation headquartered in Manhattan, New York City. Its primary areas of business are financial information and analytics. It is the parent company of S&P Global Ratings, S&P Global Market Intelligence, S&P Global Mobility, S&P Global Engineering Solutions, S&P Global Sustainable1, and S&P Global Commodity Insights, CRISIL, and is the majority owner of the S&P Dow Jones Indices joint venture. "S&P" is a shortening of "Standard and Poor's". Corporate history The predecessor companies of S&P Global have history dating to 1888, when James H. McGraw purchased the ''American Journal of Railway Appliances''. He continued to add further publications, eventually establishing The ''McGraw Publishing Company'' in 1899. John A. Hill had also produced several technical and trade publications and in 1902 formed his own business, The ''Hill P ...
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Urachal Diverticulum
A urachal diverticulum (also ''vesicourachal diverticulum'') is a congenital disorder caused by the partial persistence of the allantois. The allantois, which later becomes the urachus, connects an embryo's bladder to the yolk sac. Normally, the urachus closes off to become the median umbilical ligament; however, if it does not seal close to the bladder, a blind pouch connected to the bladder remains. This is usually asymptomatic but can lead to recurrent urinary tract infections. If the urachus is wholly patent, urine Urine is a liquid by-product of metabolism in humans and in many other animals. Urine flows from the kidneys through the ureters to the urinary bladder. Urination results in urine being excreted from the body through the urethra. Cellular ... can drain from the bladder to an opening by the umbilicus, a condition known as urachal fistula. References Congenital disorders of urinary system {{genitourinary-stub ...
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Urachal Fistula
A urachal fistula is a congenital disorder caused by the persistence of the allantois (later, urachus), the structure that connects an embryo's bladder to the yolk sac. Normally, the urachus closes off to become the median umbilical ligament; however, if it remains open, urine Urine is a liquid by-product of metabolism in humans and in many other animals. Urine flows from the kidneys through the ureters to the urinary bladder. Urination results in urine being excreted from the body through the urethra. Cellular ... can drain from the bladder to an opening by the umbilicus. This condition is a rare defect, mostly found in children, and is also known as an open or patent urachus. References Congenital disorders of urinary system {{genitourinary-stub ...
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Median Umbilical Ligament
In human anatomy, the median umbilical ligament is an unpaired midline ligamentous structure upon the lower inner surface of the anterior abdominal wall. It is covered by the median umbilical fold. The median umbilical ligament represents the remnant of the fetal urachus. It extends from the apex of the bladder to the umbilicus, on the deep surface of the anterior abdominal wall. The medial umbilical ligament represents one of the five ligaments of the internal anterior abdominal wall inferior to the umbilicus; laterally on either side of it are one medial umbilical ligament and finally one lateral umbilical ligament. Development The median umbilical ligament begins as the allantois in the embryonic period. It then becomes the urachus in the fetus. This later develops into the median umbilical ligament at birth. It is also formed from the cloaca in utero. Function The median umbilical ligament has no known function. Clinical significance The median umbilical ligament may ...
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Prostatic Urethra
The prostatic urethra, the widest and most dilatable part of the urethra canal, is about 3 cm long. It runs almost vertically through the prostate from its base to its apex, lying nearer its anterior than its posterior surface; the form of the canal is spindle-shaped, being wider in the middle than at either extremity, and narrowest below, where it joins the membranous portion. A transverse section of the canal as it lies in the prostate is horse-shoe-shaped, with the convexity directed forward. The keyhole sign, in ultrasound, is associated with a dilated bladder and prostatic urethra. Additional images File:Illu prostate lobes.jpg, Lobes of prostate File:Illu prostate zones.jpg, Zones of prostate File:Illu penis.jpg, Structure of the penis File:Gray1156.png, Vertical section of bladder The urinary bladder, or simply bladder, is a hollow organ in humans and other vertebrates that stores urine from the kidneys before disposal by urination. In humans the bladder ...
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Urinary Bladder
The urinary bladder, or simply bladder, is a hollow organ in humans and other vertebrates that stores urine from the kidneys before disposal by urination. In humans the bladder is a distensible organ that sits on the pelvic floor. Urine enters the bladder via the ureters and exits via the urethra. The typical adult human bladder will hold between 300 and (10.14 and ) before the urge to empty occurs, but can hold considerably more. The Latin phrase for "urinary bladder" is ''vesica urinaria'', and the term ''vesical'' or prefix ''vesico -'' appear in connection with associated structures such as vesical veins. The modern Latin word for "bladder" – ''cystis'' – appears in associated terms such as cystitis (inflammation of the bladder). Structure In humans, the bladder is a hollow muscular organ situated at the base of the pelvis. In gross anatomy, the bladder can be divided into a broad , a body, an apex, and a neck. The apex (also called the vertex) is directed forward ...
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