Abstract
Tumors arising from urachus in children are exceedingly rare and sporadically reported in literature. Being a midline structure, the urachus may harbor neoplastic germ cell elements and can occasionally present as a case of acute abdomen. A 20-month-old toddler presented with spontaneous rupture of an urachal yolk sac tumor causing hemoperitoneum. He underwent resection, received platinum-based chemotherapy and presently remains well on follow-up. Despite its rarity, urachal germ cell tumors must be considered in a child with acute abdomen and tumor markers must be measured preemptively in such cases.
MeSH terms
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Biomarkers, Tumor / analysis
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Bleomycin / administration & dosage
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Carboplatin / administration & dosage
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Combined Modality Therapy
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Consanguinity
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Emergencies
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Endodermal Sinus Tumor / chemistry
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Endodermal Sinus Tumor / complications*
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Endodermal Sinus Tumor / diagnostic imaging
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Endodermal Sinus Tumor / therapy
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Etoposide / administration & dosage
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Hemoperitoneum / etiology*
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Humans
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Infant
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Laparotomy
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Male
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Rupture, Spontaneous
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Tomography, X-Ray Computed
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Urachus / diagnostic imaging*
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Urinary Bladder Neoplasms / chemistry
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Urinary Bladder Neoplasms / complications*
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Urinary Bladder Neoplasms / diagnostic imaging
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Urinary Bladder Neoplasms / therapy
Substances
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Biomarkers, Tumor
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Bleomycin
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Etoposide
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Carboplatin