Urachal Diverticulum presenting as abdominal pain: a surprise at surgery

Chaithanya, J; Srinivas, B.; Hanumanthaiah, K S; Rajagopalan, Sriram

doi:10.18203/2349-2902.isj20173430

Cited by 1 publication

(1 citation statement)

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“…If infection and peritoneal involvement coexist, defense muscular's reflexes are frequently founded. Patients with infected urachal cysts can present with a wide range of symptoms, most commonly abdominal pain, fever, umbilical discharge, and the feeling of a midline mass (1,11). Related to this case, the patient suffering from abdominal pain which radiated to the perineum, had experienced dysuria and nausea in the previous month.…”

Section: Discussionmentioning

confidence: 90%

Infected Urachal Cyst in Adult

Ekaputra,

Daryanto,

Seputra

2023

JKB

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Infected urachal cyst is one of urachal spectrum abnormalities. It usually presents in children because obliteration normally happened at early infancy. Rare case occurs in adult either can be small incidence or unrecognized symptoms until adulthood. Only small numbers of literature reported. The urachus is a tube extending from the anterior roof of the vesica urinaria to the umbilicus along the midline. The urachus is a vestigial fibromuscular structure located anterior to the fascia transversalis and posterior to the peritoneum. The presence of an embryonic urachal remnant can result in a variety of clinical complications. Due to the rarity of urachal residual disorders and the possibility of vague stomach or urinary symptoms, it is difficult to make a firm preoperative diagnosis. A 32-year-old female was referred to Saiful Anwar General Hospital after suffering abdominal pain for two months; the perineum felt the pain. There was a history of dysuria and nausea since the previous month, but no history of fever or change in bowel habits. Abdominal ultrasound showed an abscess at the anterior bladder and MRI showed an infected cyst mass in the suprapubic pointing to the left umbilical. Partial cystectomy and uterus biopsy were performed. The histopathologic result showed chronic inflammation tissue, and no malignancy was found. Misdiagnosis may lead to many complications such as progressive infection until malignancy therefore early detection of this case is important.

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Section: Discussionmentioning

confidence: 90%