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[Emergency surgery: suppurating urachal cyst producing intestinal occlusion]
A Spivach1, P Gheller, R Danek
1Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi di Trieste.
Chirurgia Italiana
|April 1, 2000
Summary
Infected urachal cysts can cause recurrent intestinal sub-occlusion. Surgical excision of the infected urachal cyst is an effective treatment, preserving bladder integrity.
Area of Science:
- Urology
- Surgical Gastroenterology
Background:
- Urachal remnants can persist after birth, leading to urachal anomalies.
- Urachal cysts are rare but can present with serious complications.
- Infected urachal cysts may mimic acute abdominal conditions.
Observation:
- A 67-year-old male presented with recurrent episodes of intestinal sub-occlusion.
- The sub-occlusion was attributed to an infected urachal cyst.
- The patient underwent surgical management for the condition.
Findings:
- The surgical approach involved viscerolysis and excision of the infected urachal cyst.
- The procedure successfully avoided partial resection of the urinary bladder dome.
- Literature review on infected urachal cyst management was included.
Implications:
- This case highlights the importance of considering urachal cysts in the differential diagnosis of acute abdominal disease.
- Surgical excision is a viable treatment for infected urachal cysts.
- Preservation of the urinary bladder during surgery is achievable.