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Allantoic remnants presenting as a giant retroperitoneal cyst
S Antic1, J Petrovic, G Barisic
1First Surgical Clinic, Clinical Center of Serbia, Belgrade.
Acta Chirurgica Iugoslavica
|November 30, 2007
Summary
Urachal anomalies are rare in adults, typically presenting as infected cysts. This case highlights a giant urachal retroperitoneal cyst discovered incidentally in a young man.
Area of Science:
- Urology
- Surgical Pathology
Background:
- Urachal anomalies are congenital malformations of the urachus, a remnant of the allantois.
- Common urachal anomalies include patent ductus urachus, urachal cyst, umbilical-urachal sinus, and vesicourachal diverticulum.
- These anomalies are predominantly diagnosed in early childhood.
Observation:
- Urachal anomalies are exceptionally rare in adults.
- When diagnosed in adults, they often manifest as infected urachal cysts.
- A case of a giant urachal retroperitoneal cyst was incidentally found in a 22-year-old male during an abdominal ultrasound.
Findings:
- The patient presented for evaluation of idiopathic hypertension.
- An abdominal ultrasound revealed an incidental giant urachal retroperitoneal cyst.
- The cyst was surgically removed.
Implications:
- This case expands the spectrum of urachal anomalies in adults.
- It underscores the importance of considering urachal pathology in adult patients, even with incidental findings.
- Giant urachal cysts, though rare, can occur in young adults and may be asymptomatic or incidentally discovered.
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