[Infected urachal cyst in adulthood: case report and literature review]

Area of Science:

• Urology
• Surgical Pathology

Background:

• The urachus, a remnant of the allantois, typically obliterates into a fibrous band by infancy.
• Urachal anomalies result from incomplete obliteration and are more frequently symptomatic in children.
• Urachal cysts (UC) are the most common urachal anomaly in adults, often asymptomatic until complications arise.

Observation:

• A 32-year-old male presented with a complex clinical scenario.
• The patient developed an abscess within the abdominal wall.
• This abscess was identified as a complication of a ruptured urachal cyst.

Findings:

• The urachal cyst in this adult patient became infected.
• Rupture of the infected urachal cyst led to the formation of an abdominal wall abscess.
• This case illustrates a rare but significant complication of urachal cysts in adulthood.

Implications:

• Infected and ruptured urachal cysts can present with severe complications like abdominal wall abscesses in adults.
• Awareness of urachal anomalies and their potential complications is crucial for adult diagnosis and management.
• Prompt recognition and treatment are essential to manage complications arising from urachal pathology.