Cargando…

Infected urachal cyst in an adult: a case report and review of the literature

INTRODUCTION: Urachal cyst is one of a spectrum of urachal abnormalities most commonly found in children. They are very rarely seen in adults because the urachus is normally obliterated in early infancy. CASE PRESENTATION: We describe a case of a 32 year old male Caucasian who presented with a tende...

Descripción completa

Detalles Bibliográficos
Autores principales: Ekwueme, Kingsley C, Parr, Nigel J
Formato: Texto
Lenguaje:English
Publicado: Cases Network Ltd 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2740315/
https://www.ncbi.nlm.nih.gov/pubmed/19829803
http://dx.doi.org/10.4076/1757-1626-2-6422
_version_ 1782171704783536128
author Ekwueme, Kingsley C
Parr, Nigel J
author_facet Ekwueme, Kingsley C
Parr, Nigel J
author_sort Ekwueme, Kingsley C
collection PubMed
description INTRODUCTION: Urachal cyst is one of a spectrum of urachal abnormalities most commonly found in children. They are very rarely seen in adults because the urachus is normally obliterated in early infancy. CASE PRESENTATION: We describe a case of a 32 year old male Caucasian who presented with a tender, midline, infraumbilical mass and purulent umbilical discharge. Diagnosis of an infected urachal cyst was confirmed on magnetic resonance scan. He was treated initially with broad spectrum antibiotics in order to allow sepsis to resolve prior to surgical excision of the cyst and fibrous tract. Cystoscopy was performed intraoperatively to exclude sinus communication with the bladder. Histology of the excised specimen showed chronic inflammation with no evidence of malignancy. Postoperative recovery was uneventful. CONCLUSION: Urachal abnormalities are rare in adults. Clinical presentation is non-specific; therefore, a high index of suspicion is required in order to make the diagnosis. When diagnosed, surgical excision is advised because of the risk of malignant transformation.
format Text
id pubmed-2740315
institution National Center for Biotechnology Information
language English
publishDate 2009
publisher Cases Network Ltd
record_format MEDLINE/PubMed
spelling pubmed-27403152009-10-14 Infected urachal cyst in an adult: a case report and review of the literature Ekwueme, Kingsley C Parr, Nigel J Cases J Case report INTRODUCTION: Urachal cyst is one of a spectrum of urachal abnormalities most commonly found in children. They are very rarely seen in adults because the urachus is normally obliterated in early infancy. CASE PRESENTATION: We describe a case of a 32 year old male Caucasian who presented with a tender, midline, infraumbilical mass and purulent umbilical discharge. Diagnosis of an infected urachal cyst was confirmed on magnetic resonance scan. He was treated initially with broad spectrum antibiotics in order to allow sepsis to resolve prior to surgical excision of the cyst and fibrous tract. Cystoscopy was performed intraoperatively to exclude sinus communication with the bladder. Histology of the excised specimen showed chronic inflammation with no evidence of malignancy. Postoperative recovery was uneventful. CONCLUSION: Urachal abnormalities are rare in adults. Clinical presentation is non-specific; therefore, a high index of suspicion is required in order to make the diagnosis. When diagnosed, surgical excision is advised because of the risk of malignant transformation. Cases Network Ltd 2009-06-25 /pmc/articles/PMC2740315/ /pubmed/19829803 http://dx.doi.org/10.4076/1757-1626-2-6422 Text en © 2009 Ekwueme and Parr; licensee Cases Network Ltd. http://creativecommons.org/licenses/by/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Ekwueme, Kingsley C
Parr, Nigel J
Infected urachal cyst in an adult: a case report and review of the literature
title Infected urachal cyst in an adult: a case report and review of the literature
title_full Infected urachal cyst in an adult: a case report and review of the literature
title_fullStr Infected urachal cyst in an adult: a case report and review of the literature
title_full_unstemmed Infected urachal cyst in an adult: a case report and review of the literature
title_short Infected urachal cyst in an adult: a case report and review of the literature
title_sort infected urachal cyst in an adult: a case report and review of the literature
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2740315/
https://www.ncbi.nlm.nih.gov/pubmed/19829803
http://dx.doi.org/10.4076/1757-1626-2-6422
work_keys_str_mv AT ekwuemekingsleyc infectedurachalcystinanadultacasereportandreviewoftheliterature
AT parrnigelj infectedurachalcystinanadultacasereportandreviewoftheliterature