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Intraperitoneal rupture of an infected urachal cyst in an infant. Case report

T F Chen1, D S Collier

  • 1Department of Surgery, Addenbrooke's Hospital, Cambridge, England.

Insights

Intraperitoneal rupture of an infected urachal cyst caused peritonitis in an infant, a previously unreported condition. Surgical excision led to a full recovery, with Staphylococcus aureus identified as the causative agent.

Area of Science:

  • Pediatric Surgery
  • Urology
  • Infectious Diseases

Background:

  • Infected urachal cysts can lead to serious complications.
  • Peritonitis from urachal cyst rupture is a rare but life-threatening event.
  • This condition has not been previously documented in infants.

Observation:

  • A case of an 8-month-old infant presenting with peritonitis is described.
  • The peritonitis was caused by an intraperitoneal rupture of an infected urachal cyst.
  • Staphylococcus aureus was identified from bacterial cultures.

Findings:

  • The infant underwent successful surgical excision of the urachal remnant.
  • The patient experienced an uneventful recovery post-surgery.
  • No other abnormalities of the renal tract were detected during subsequent investigations.

Implications:

  • This case highlights a rare cause of peritonitis in infants.
  • Early diagnosis and surgical intervention are crucial for favorable outcomes.
  • Further research may be needed to understand the predisposition to urachal cyst infections in infants.

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