A case of retroperitoneal abscess caused by infection of urachal remnant
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Updated: Sep 25, 2025

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Akira Yoneda1, Taiji Hida1, Hanako Tetsuo1
1Department of Surgery National Hospital Organization Nagasaki Medical Center Omura Japan.
Abstract:
Infection of urachal remnant may cause recurrent abscesses. In the current case report, we describe a urachal remnant infection leading to a retroperitoneal abscess, which is an extremely rare condition. In such cases, the recommended treatment is urachal remnant resection.
Insights
Urachal remnant infection can cause recurrent abscesses. This case report details an extremely rare instance of urachal remnant infection leading to a retroperitoneal abscess, treated with surgical resection.
Area of Science:
- Urology
- Surgical Pathology
Background:
- Urachal remnants are congenital anomalies that can become sites of infection.
- Infection of the urachus typically presents as a midline abdominal abscess.
Observation:
- This case report describes an unusual presentation of urachal remnant infection.
- The infection extended into the retroperitoneal space, forming a retroperitoneal abscess.
Findings:
- Retroperitoneal abscess secondary to urachal remnant infection is an exceptionally rare condition.
- The diagnosis was confirmed through imaging and clinical presentation.
Implications:
- Prompt diagnosis and surgical intervention are crucial for managing such rare complications.
- Urachal remnant resection is the recommended treatment to prevent recurrence and further complications.
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