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What Does A Urachal Cyst In A Child Indicate?
Question: Hi. My daughter was diagnosed at age 4 and a half with a urachal cyst based on sonogram. Got a second opinion and second sonogram was normal, no cyst. Have since gotten 3 more sonograms, over 2 years, all normal. Initial finding was incidental. Daughter asymptomatic. Cyst hasn't showed up on four subsequent sonograms. Anything to do?
Brief Answer:
may not be any problem
Detailed Answer:
Hello,
Thank You for consulting HealthcareMagic!
Based on the information given by you, I personally think that there may not be any problem and the finding is just incidental. However, a Physical examination is mandatory to confirm.
Stay healthy and thank you for consulting! You can contact me again anytime, if you need clarifications or further assistance in future. Kindly rate the answer if you are satisfied.
may not be any problem
Detailed Answer:
Hello,
Thank You for consulting HealthcareMagic!
Based on the information given by you, I personally think that there may not be any problem and the finding is just incidental. However, a Physical examination is mandatory to confirm.
Stay healthy and thank you for consulting! You can contact me again anytime, if you need clarifications or further assistance in future. Kindly rate the answer if you are satisfied.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thank you. However, my concern is whether the possibility exists that she has the cyst even though it showed up only as an incidental finding on the first sonogram. If she has the cyst, it must be removed as it could become infected or malignant later in life. Any explanation for why it might show up on one sonogram and not four subsequent sonograms. Is it likely the first was error? I would to know for certain whether it exists. If it is there, I'm clear that it has to be surgically excised to prevent complications. However, if it does not exist, I obviously don't want her to have unnecessary surgery. Please advise.
Brief Answer:
One is that the first diagnosis may be incorrect
Detailed Answer:
Hi,
Sorry for delay in replying. I can understand your concern.
Three possibilities- One is that the first diagnosis may be incorrect.
Second- there could have been spontaneous regression which is reported rarely in some cases.
Third- Ultrasound could not have identified because of very small size.
After Careful physical exam, if there is clinical suspicion the requirement of more sensitive tests like CT should be assessed.
Take Care!
One is that the first diagnosis may be incorrect
Detailed Answer:
Hi,
Sorry for delay in replying. I can understand your concern.
Three possibilities- One is that the first diagnosis may be incorrect.
Second- there could have been spontaneous regression which is reported rarely in some cases.
Third- Ultrasound could not have identified because of very small size.
After Careful physical exam, if there is clinical suspicion the requirement of more sensitive tests like CT should be assessed.
Take Care!
Above answer was peer-reviewed by :
Dr. Shanthi.E
Brief Answer:
not recommended to do a sonogram on yearly basis
Detailed Answer:
Hi,
Firstly, the need of CT should be suspected based on physical exam findings, which your treating Urologist can definitely do.
No, it is not recommended to do a sonogram on yearly basis for this purpose.
Take Care!
not recommended to do a sonogram on yearly basis
Detailed Answer:
Hi,
Firstly, the need of CT should be suspected based on physical exam findings, which your treating Urologist can definitely do.
No, it is not recommended to do a sonogram on yearly basis for this purpose.
Take Care!
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Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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