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Congenital prepubic sinus accompanied by prevesical abscess.

Hideki Kobayashi1, Teruhisa Nomura2, Yaburu Haneda1

  • 1Department of Urology, University of Yamanashi , Japan.

Clinics and Practice
|April 29, 2015
PubMed
Summary

Congenital prepubic sinus, an extremely rare anomaly, can present with a prevesical abscess. This case highlights the first documented instance of this association and the oldest patient diagnosed with this condition.

Keywords:
congenital prepubic sinusepidemiologyetiologyprevesical abscesstreatment

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Area of Science:

  • Urology
  • Surgical Anatomy

Background:

  • Congenital prepubic sinus is an exceptionally rare congenital anomaly with uncertain etiology and variable anatomical presentations.
  • Prepubic sinus anomalies typically present in infancy or early childhood.

Observation:

  • A 22-year-old female presented with high-grade fever and lower abdominal pain.
  • Computed tomography revealed a prevesical abscess.
  • The patient was diagnosed with a congenital prepubic sinus.

Findings:

  • This report details the first known case of a congenital prepubic sinus presenting with a prevesical abscess.
  • The patient's age of 22 represents the oldest reported age for a congenital prepubic sinus diagnosis.
  • Successful surgical excision of the congenital prepubic sinus was performed after abscess treatment.

Implications:

  • This case expands the known clinical spectrum of congenital prepubic sinus.
  • It underscores the importance of considering congenital anomalies in the differential diagnosis of prevesical abscesses, even in older patients.
  • Further research into the etiology and management of congenital prepubic sinus is warranted.