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[Infected urachal cyst].

Kadri Güler1, Burak Kaynak, Faik Celik

  • 1Göztepe Social Security Hospital, 4th Surgical Clinic, Istanbul, Turkey.

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|February 3, 2005
PubMed
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This case report details an infected urachal cyst in a 26-year-old female presenting with abdominal pain and umbilical discharge. Surgical excision confirmed the diagnosis, highlighting a rare acquired urachal pathology.

Area of Science:

  • Urology
  • Surgical Pathology
  • Embryology

Background:

  • The urachus, a remnant of the allantois and cloaca, typically obliterates postnatally.
  • Incomplete obliteration can lead to congenital anomalies like urachal cysts.
  • Acquired pathologies, including infections and neoplasms, can also arise from urachal remnants.

Observation:

  • A 26-year-old female presented with abdominal pain and umbilical discharge.
  • Clinical examination revealed suprapubic tenderness and an abdominal mass with overlying hyperemic skin.
  • Imaging studies, including ultrasound (USG) and computed tomography (CT), supported the diagnosis of an infected urachal cyst.

Findings:

  • The patient was diagnosed with an infected urachal cyst.
  • Surgical intervention was performed.

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  • Total cyst excision was successfully completed.

    • Implications:

    • This case underscores the importance of considering acquired urachal pathologies, such as infected urachal cysts, in adult patients presenting with relevant symptoms.
    • Prompt diagnosis and surgical management are crucial for favorable outcomes.
    • Understanding urachal embryology is key to recognizing potential congenital and acquired abnormalities.