Urachal cyst with xanthogranulomatous cystitis: A rare case report

Singh, Aakash; Prasad, Hari; Shetty, K Jayaprakash; Philip, Nigi Ross; Salma, Ruhi; Chakravarthy, Anitha

doi:10.4103/0974-7796.229555

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…[ 1 ] USA M 39 Umbilical hernia, but he also noted drainage from the umbilicus Yes CT scan Surgical excision of the cyst and cure of the umbilical hernia Umbilical hernia with simple ruptured urachal cyst 2018 Singh et al . [ 2 ] India F 30 Lower abdominal pain with dysuria No CT scan, cystoscopy Partial cystectomy with surgical resection of the cyst Urachal cyst with xanthogranulomatous cystitis 2002 Milotic et al . [ 3 ] Croatia F 73 Dysuria No US, CT Surgical resection, open laparotomy Urachal cyst containing calculis 2008 Seo et al .…”

Section: Discussionmentioning

confidence: 99%

Surgical management of benign noninfected urachal cysts in adult patients: two case reports

et al. 2023

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Background Abnormalities of the urachus include the patent urachus, cysts, sinus, and fistula. Each of these entities represents a failure of complete obliteration of the urachus. Contrary to other urachus anomalies, urachal cysts are usually small and silent unless they are infected. The diagnosis is often made during childhood. A benign noninfected urachal cyst discovered in adulthood is a rare condition. Case presentation Herein we report two cases of benign noninfected urachal cysts in adults. The first case is a 26-year-old Tunisian white man who presented with complaints of clear fluid draining from the base of the umbilicus evolving for a week, with no other associated symptoms. The other case was 27-year-old Tunisian white woman who was referred to the surgery department with a history of intermittent draining of clear fluid from the umbilicus. The two cases had laparoscopic resection of urachus cysts. Discussion Laparoscopy represents a good alternative for the management of persistent or infected urachus, especially when this is suspected, despite a lack of radiological evidence. Laparoscopy in the management of urachal cysts is safe, effective, and offers good cosmesis, with all the advantages of a minimally invasive approach. Conclusion Managing persistent and symptomatic urachal anomalies requires a wide surgical excision. Such intervention is recommended to prevent symptom recurrence and complications, most notably malignant degeneration. A laparoscopic approach offers excellent outcomes, and is recommended to treat these abnormalities.

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Section: Discussionmentioning

confidence: 99%

Surgical management of benign noninfected urachal cysts in adult patients: two case reports

et al. 2023

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“…The urachus is an embryological remnant of the allantois that normally obliterates during the 5th to 7th month of gestation to ultimately form the median umbilical ligament [ 3 ]. It is relatively uncommon to have defects during the obliteration process.…”

Section: Discussionmentioning

confidence: 99%

Urachal xanthogranuloma: a rare but important case presenting as a urachal mass

Jain,

DiLena

et al. 2023

BMC Urol

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Background A urachal mass is a relatively rare presentation to the urologists’ practice, often requiring radical surgical excision for a definitive diagnosis. Xanthogranulomatous inflammation of the urachus is an extremely rare entity with few cases reported worldwide, and to the best of our knowledge, no cases reported in the western world. Case presentation In this case, a 55-year-old male patient presented with bothersome lower urinary tract symptoms and computed tomography findings demonstrating a urachal mass that was worrisome for urachal carcinoma. Following surgical intervention, histopathology revealed urachal xanthogranuloma. Post-operatively, the patient recovered well, and eventually, he had symptomatic and radiologic improvement. Conclusion This case brings awareness to a rare presentation of a urachal mass—urachal xanthogranuloma. While operative intervention was both diagnostic and therapeutic, we highlight the challenge in differentiating between benign and malignant processes for urachal masses. Herein, we show the importance of including urachal xanthogranuloma in the differential diagnosis of a urachal mass to prevent further morbidity associated with the treatment of this disease.

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Urachal cyst with xanthogranulomatous cystitis: A rare case report

Cited by 2 publications

References 7 publications

Surgical management of benign noninfected urachal cysts in adult patients: two case reports

Surgical management of benign noninfected urachal cysts in adult patients: two case reports

Urachal xanthogranuloma: a rare but important case presenting as a urachal mass

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