An Infected Urachal Cyst in an Adult Woman

Kaya, Serdar; Bacanakgıl, Besim Haluk; Soyman, Zeynep; Kerımova, Roya; Havare, Semiha Battal; Kaya, Başak

doi:10.1155/2015/791408

Cited by 4 publications

(5 citation statements)

References 8 publications

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“…The cyst remains largely asymptomatic unless infected [6]. Infected urachal cysts present with acute symptoms such as suprapubic pain, dysuria, fever, nausea, vomiting, haematuria, pelvic pain, and purulent umbilical discharge [6][7]. The present case had suprapubic pain with low-grade fever at the time of admission.…”

Section: Discussionmentioning

confidence: 67%

“…Ultrasound can also reveal the presence of internal echoes within an infected cyst and can be used to guide diagnostic aspirations [9]. Microbiological study and culture of the abscess fluid are often done to rule out infection with Escherichia coli, Enterococcus faecium, and Klebsiella pneumonia being the common organisms isolated [7]. Imaging techniques provide information regarding the presence of urachal sinuses, the size of the cyst, and its relationship with the surrounding tissue [9].…”

Section: Discussionmentioning

confidence: 99%

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Acute Presentation of Urachal Cyst: A Case Report

Jayakumar

Darlington

2020

Cureus

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Urachus is an embryonic organ related to the bladder that degenerates after birth. Defective obliteration of the urachus leads to urachal malformations, the most common of which is a urachal cyst. A urachal cyst is often misdiagnosed due to its myriad presentations. Delay in diagnosis can lead to complications such as sepsis, fistula formation, and rupture of the cyst mimicking peritonitis. Hence, a high index of suspicion is required for the timely diagnosis and management of urachal cysts presenting in the emergency room. We report the case of a 32year-old woman who presented with clinical features suggestive of an acute abdomen. The judicious use of imaging confirmed the diagnosis of an infected urachal cyst, which was surgically managed.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Acute Presentation of Urachal Cyst: A Case Report

Jayakumar

Darlington

2020

Cureus

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“…Urachal cysts are usually asymptomatic and are typically detected when they become symptomatic as they enlarge or during some other routine radiological investigation [ 10 ]. The most common complication of a urachal cyst is an infection, with the most typical isolates of an infected cyst being Escherichia coli, Enterococcus faecium, and Klebsiella pneumonia [ 11 , 12 ]. When infected, an otherwise asymptomatic patient may present with symptoms of acute abdomen mimicking obstructed hernia, acute appendicitis, Meckel's diverticulitis, or pelvic inflammatory disease [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Urachal Cyst in a Patient With Uterine Fibroids

Tasa¹,

Dey²,

Dutta³

et al. 2022

Cureus

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A 41-year-old woman presented to the emergency department with pain in her abdomen during menstruation. On examination, we detected a cystic lump in the midline, just below the umbilicus. Ultrasonography of the whole abdomen was suggestive of uterine fibroids with a probable mesenteric cyst. Computed tomography of the abdomen confirmed an otherwise asymptomatic, silent, urachal cyst connected to the umbilicus and urinary bladder by obliterated bands. The cyst was explored and removed surgically under combined spinal-epidural anesthesia, following a single-staged approach. A total abdominal hysterectomy with bilateral salpingo-oophorectomy was subsequently performed. Urachal cysts are rare congenital anomalies. Any unexpected finding on clinical examination should alert clinicians for further evaluation and treatment.

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“…Thus, the cysts are vestigial remnants that can lead to complications, particularly affecting the males, and can be asymptomatic until adulthood upon becoming infected, including bladder fistula formation, cyst rupture, peritonitis, and sepsis, caused by Escherichia coli , Enterococcus faecium , Klebsiella pneumonia, Proteus, Streptococcus viridans, and Fusobacterium [ 20 , 21 ]. Besides the plethora of symptoms, it may be characterized by local periumbilical or lower abdominal pain, urinary manifestations, fever, omphalitis, and pain when the mass is palpable [ 22 , 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Urachal Cyst Misdiagnosed as a Paraovarian Cyst: Ultrasound Assessment and Differential Diagnosis

et al. 2022

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The urachus is an embryologic remnant of the cloaca that usually degenerates after birth, resulting from the obliteration of the allantois, whose role is to connect the bladder to the umbilicus. Incomplete removal of the lumen may give rise to different malformations of the median umbilical ligament after birth. Although in the pediatric population urachus are common, most cases are asymptomatic and may go unrecognized until adulthood and give rise to cysts, rarely reported in the literature. Thus, in this manuscript we present the circumstances of a 43-year-old Romanian woman showing hypogastric pain of moderate intensity for three weeks, radiation in the left lower limb, menstrual cycle abnormalities, and dysmenorrhea. Based on the initial examinations, a paraovarian cyst measuring 80 mm was noted. Through the subsequent magnetic resonance imaging (MRI) conducted, a hypoechoic mass was detected, and the patient underwent a tumorectomy and partial cystectomy. A 9.7/7.5-cm tumor was excised, and the anatomopathological result was urachal mucinous cystadenoma. It came to our attention that relatively scarce data were found in the literature, with only seven studies with the diagnosis of the urachal cyst.

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An Infected Urachal Cyst in an Adult Woman

Cited by 4 publications

References 8 publications

Acute Presentation of Urachal Cyst: A Case Report

Acute Presentation of Urachal Cyst: A Case Report

A Rare Case of Urachal Cyst in a Patient With Uterine Fibroids

An Unusual Case of Urachal Cyst Misdiagnosed as a Paraovarian Cyst: Ultrasound Assessment and Differential Diagnosis

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