Urachal Abnormalities in Adults

An infected urachal cyst is a rare differential diagnosis for an acute abdomen in adult female: a case report

“…Owing to the low incidence and heterogeneous presentation patients can be misdiagnosed. 1 Diagnosis is often confirmed following exploratory laparotomy or laparoscopy. Complications include sepsis, fistula formation & rupture leading to peritonitis.…”

“…Complete excision is important because malignant degeneration of the remnant is possible. 1 Malignant degeneration of urachal remnants occurs more frequently in middle aged and older people. 7 It has a course that can be considerably worse than that of primary bladder adenocarcinomas.…”

“…Patients may present in a heterogeneous fashion, making diagnosis difficult. 1 We report a rare case of an infected urachal cyst presenting as acute abdomen in a middle aged women.…”

An unusual presentation of infected urachal cyst in an adult

“…vesicourachal diverticulum ~5%; where the distal communication to the bladder persists [2]. The incidence of urachal cyst in adults is rare and it is more common in men than women [3,6]. In adults, the most common variety is urachal cyst, with infection being usual mode of presentation, otherwise the condition usually remains asymptomatic [3].…”

“…The incidence of urachal cyst in adults is rare and it is more common in men than women [3,6]. In adults, the most common variety is urachal cyst, with infection being usual mode of presentation, otherwise the condition usually remains asymptomatic [3]. Infected urachal cyst usually presents with lower abdominal pain, a tender mass, fever, dysuria, voiding difficulty or even with umbilical drainage [4].…”