Acute Presentation of Infected Urachal Cysts

Allen, Jason W.; Song, J.; Velcek, Francisca T.

doi:10.1097/01.pec.0000113880.10140.19

Cited by 40 publications

(15 citation statements)

References 12 publications

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“…Urachal cysts usually become symptomatic when these are infected. Infected urachal cysts present with fever, abdominal pain, abdominal tenderness with erythema, lower abdominal mass, nausea, vomiting, and dysuria [ 4 ]. The diagnosis of urachal cysts is mainly clinic and the diagnosis is usually confirmed by ultrasonography, computed tomography (CT), and also magnetic resonance imaging (MRI).…”

Section: Discussionmentioning

confidence: 99%

An Infected Urachal Cyst in an Adult Woman

Kaya¹,

Bacanakgıl²,

Soyman³

et al. 2015

Case Reports in Obstetrics and Gynecology

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The urachus is an embryologic remnant which degenerates after the birth. Defective obliteration of the urachus leads to urachal abnormalities. An infected urachal cyst is one of the urachal abnormalities and this pathology is rare in adult women. We report a case of 33-year-old woman with pelvic pain and dysuria who was diagnosed with infected urachal cyst. Infected urachal cyst is a rare pathology in adult women and this pathology should be considered in the differential diagnosis of acute abdomen.

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Section: Discussionmentioning

confidence: 99%

An Infected Urachal Cyst in an Adult Woman

Kaya¹,

Bacanakgıl²,

Soyman³

et al. 2015

Case Reports in Obstetrics and Gynecology

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“…Resulting complications include secondary infection, peritoneal rupture, cancer, fistula, acute hemorrhage, urinary or intestinal obstruction, and Reiter syndrome 1,8…”

Section: Discussionmentioning

confidence: 99%

“…This complicated urachal anomaly requires a surgical excision to prevent symptomatic recurrence and malignant degeneration. 1 However, traditional open excisions are associated with significant morbidity and prolonged convalescence 2…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Excision of a Urachal Cyst Containing Large Stones in an Adult

Seo

Han

et al. 2008

Yonsei Med J

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Stone-containing urachal cysts are extremely rare in adults. Here, we report the case of a 58-year-old man with a urachal cyst who had lower abdominal pain and urinary frequency. Abdominal ultrasonography and computed tomography showed hyperdense stones in the urachus. He was treated with a laparoscopic excision using a transperitoneal approach. The pathological diagnosis was an inflammed urachal cyst. This rare case illustrates an inflammed urachal cyst containing stones treated with laparoscopy.

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“…Allen et al5 and Ozbek et al11 suggested that ultrasonography is an ideal modality for diagnosing urachal cysts, since these entities are cystic, extraperitoneal, and are directly related to the bladder. Nagasaki et al17 reported a 75% diagnostic success rate for ultrasound, whereas Minevich et al4 reported 57.1% and Cilento et al18 reported 100%.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Infected Urachal Cysts

2006

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The urachus is a fibrous cord that arises from the anterior bladder wall and extends cranially to the umbilicus. Traditionally, infection has been treated using a two-stage procedure that includes an initial incision and drainage which is then followed by elective excision. More recently, it has been suggested that a single-stage excision with improved antibiotics is a safe option. Thus, we intended to compare the effects of the two-stage procedure and the single-stage excision. We performed a retrospective review on nine patients treated between May 1990 and September 2005. The methods used in diagnosis were ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), and cystoscopy. The study group was comprised of three males and six females with a mean age of 28.2 years (with a range from three to 71 years). Symptoms consisted of abdominal pain, abdominal mass, fever, and dysuria. The primary incision and drainage followed by a urachal remnant excision with a bladder cuff excision (two-stage procedure) was performed in four patients. The mean postoperative hospitalization lasted 5.8 days (with a range of three to seven days), and there were no reported complications. A primary excision of the infected urachal cyst and bladder cuff (single-stage excision) was performed in the other five patients. These patients had a mean postoperative hospitalization time of 9.2 days (with a range of four to 15 days), and complications included an enterocutaneous fistula, which required additional operative treatment. The best method of treating an infected urachal cyst remains a matter of debate. However, based on our results, the two-stage procedure is associated with a shorter hospital stay and no complications. Thus, when infection is extensive and severe, we suggest that the two-stage procedure offers a more effective treatment option.

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Acute Presentation of Infected Urachal Cysts

Cited by 40 publications

References 12 publications

An Infected Urachal Cyst in an Adult Woman

An Infected Urachal Cyst in an Adult Woman

Laparoscopic Excision of a Urachal Cyst Containing Large Stones in an Adult

Treatment of Infected Urachal Cysts

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