Unmasking a Rare Cause of Acute Abdomen in Adults: A Case Report of an Infected Urachal Cyst.

Autor: Vandeloise J; Emergency Department, Cliniques Universitaires Saint Luc, Brussels, BEL., Fievez MJ; Radiology Department, Cliniques Universitaires Saint Luc, Brussels, BEL., Couvreur C; Emergency Department, Centre Hospitalier Universitaire (CHU) UCLouvain (Université Catholique de Louvain) Namur - Godinne, Godinne, BEL., Steenebruggen F; Emergency Department, Cliniques Universitaires Saint Luc, Brussels, BEL.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Aug 26; Vol. 16 (8), pp. e67787. Date of Electronic Publication: 2024 Aug 26 (Print Publication: 2024).
DOI: 10.7759/cureus.67787
Abstrakt: The urachus is a remnant of the fetal duct that typically obliterates and becomes a fibrous cord after birth. However, in rare cases where this process fails, urachal cysts and other abnormalities can form, often remaining undiagnosed due to their asymptomatic nature. Infection is the primary complication and can be misdiagnosed due to the cyst's obscurity and varied presentations. Delayed diagnosis can lead to severe complications such as sepsis, fistula formation, and cyst rupture, potentially causing peritonitis. This paper discusses a 48-year-old male who consulted in the emergency department with acute abdominal symptoms, was diagnosed with an infected urachal cyst via imaging and successfully treated with antibiotics and subsequent surgical excision.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Vandeloise et al.)
Databáze: MEDLINE