Title: Case Report: Urachal Cyst Presenting In Adult
Authors: Dr Rajeev.N. (MS), Dr Santhosh.K.
DOI: http://dx.doi.org/10.18535/jmscr/v3i9.36
Abstract
Introduction: Urachal cyst is very rarely seen in adults. They are normally obliterated in early infancy. Urachal abnormalities are more common in children.
Case Presentation: We describe a case of a 3O year old male who presented with a
tender, midline, infraumbilical mass and purulent umbilical discharge. Diagnosis of an infected umbilical sinus was made. He was treated initially with broad spectrum antibiotics, surgery was done after the infection subsided .Histology of the excised fibrous tract 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.
References
1. Hammond G, Yglesias L, Davis JE: The urachus, its anatomy and associated fascia. Anat Rec 1941, 80:271-274.
2. Risher WH, Sardi A, Bolton J: Urachal abnormalities in adults: the Ochsner experience. South Med J 1990, 83:1036-1039.
3. Begg RC: The Urachus: its Anatomy, Histology and Development. J Anat 1930, 64:170-183.
4. Ashley RA, Inman BA, Routh JC, Rohlinger AL, Husmann DA, Kramer SA: Urachal anomalies: a longitudinal study of urachal remnants in children and adults. J Urol 2007, 178:1615-1618.
5. Yoo KH, Lee SJ, Chang SG: Treatment of infected urachal cysts. Yonsei Med J 2006, 47:423-427.
6. Flanagan DA, Mellinger JD: Urachal-sigmoid fistula in an adult male. Am Surg 1998, 64:762-763.
7. Maruschke M, Kreutzer HJ, Seiter H: Bladder rupture caused by spontaneous perforation of an infected urachal cyst. Urologe A 2003, 42:834-839.
8. Ohgaki M, Higuchi A, Chou H, Takashina K, Kawakami S, Fujita Y, Hagiwara A, Yamagishi H: Acute peritonitis caused by intraperitoneal rupture of an infected urachal cyst: report of a case. Surg Today 2003, 33:75-77.
9. Mazzucchelli R, Scarpelli M, Montironi R: Mucinous adenocarcinoma with superficial stromal invasion and villous adenoma of urachal remnants: a case report. J Clin Pathol 2003, 56:465-467.
10. Newman BM, Karp MP, Jewett TC, Cooney DR: Advances in the management of infected urachal cysts. J Pediatr Surg 1986, 21:1051-1054.