Infected Urachal Cyst

An Infected Urachal Cyst With Umbilical Granuloma in an Adult Patient

The urachus, an embryonic organ associated with the bladder, typically undergoes degeneration shortly after birth. Inadequate closure of the urachus can result in urachal malformations, with the most common being a urachal cyst. Failure to promptly identify and address this condition can lead to complications such as sepsis, fistula development, and cyst rupture, mimicking symptoms of peritonitis. Therefore, maintaining a heightened level of suspicion is crucial for timely diagnosis and effective management of urachal cysts, particularly in emergency room settings. We present the case of a 24-year-old male who exhibited clinical signs consistent with an acute abdomen. The use of imaging techniques confirmed the presence of an infected urachal cyst, which was successfully treated through surgical intervention.

Evaluation and management of urachal remnants in children

BACKGROUND

This study aimed to evaluate the diagnosis and treatment of pediatric patients with urachal remnants.

METHODS

Medical records of patients diagnosed with urachal remnants between 2015-2019 were evaluated retrospectively. Age, gender, admission complaints, diagnosis, size of cysts, the complications that developed, and treatment modalities were recorded.

RESULTS

The study population consisted of 15 cases including seven girls. Most of the cases were asymptomatic. The urachal remnants were detected by ultrasonography. The most common symptom in symptomatic patients was abdominal pain and umbilical discharge. Three patients required surgery and most of them were conservatively followed up. Complication, infection, and bladder rupture were observed in one case.

CONCLUSIONS

Follow-up of patients with urachal remnants can be performed conservatively. The type of complaint and the presence of clinical and radiological regression (if any) are important for deciding the treatment during the follow-up. However, conservative follow-up is more prominent today, as shown in this study.