Case of Infected Urachal Cyst in an Adult Presenting as an Incarcerated Umbilical Hernia

Corsello, Jenalee; Morris, Mariah; Denning, David; Munie, Semeret

doi:10.1177/00031348211060434

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…Various types of remnants have been described, including cysts, sinus, diverticulum, and a patent urachus. It is a rare congenital anomaly, with an incidence of 1:300,000 in infants and 1:5000 in adults [ 1 ].…”

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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“…It will result in four urachal anomalies: cyst, sinus, diverticulum, and patent urachus, due to varying degrees of luminalization 45 . Of these, cysts are the most common, which are closed at both ends and secrete cystic fluid in the middle to form cysts 12,46 . However, as the gestation progresses, if the urachus is not closed and a channel is left open, patent urachus develops 47 .…”

Section: Methodsmentioning

confidence: 99%

“…45 Of these, cysts are the most common, which are closed at both ends and secrete cystic fluid in the middle to form cysts. 12,46 However, as the gestation progresses, if the urachus is not closed and a channel is left open, patent urachus develops. 47 After birth, this may result in the urine from the bladder leaking out of the umbilicus, called urachal fistula.…”

Section: Complications Of Uccmentioning

confidence: 99%

Umbilical cord cysts: Classification, diagnosis, prognosis, and pregnancy recommendations

Chen,

Jia,

Yang

et al. 2023

Intl J Gynecology & Obste

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Umbilical cord cysts (UCCs)—cysts located in the umbilical cord that are derived from an abnormal embryonic development process—are typically an incidental discovery during prenatal ultrasound. It can be described as either a pseudocyst or a true UCC, which results from focal edema or degeneration of Wharton jelly or the remnants of embryonic development, respectively. Due to the relative rarity of the UCC, the clinical guidance of UCCs is not yet available. Herein, the aim of this paper is to discuss the classification, diagnosis, prognosis, and clinical management of UCCs through a literature review, in order to improve the understanding of UCCs among clinical obstetricians and pediatricians.

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Laparoscopic Umbilicus-Sparing Excision of Symptomatic Patent Urachus in Adulthood: Case Report and a Review of the Literature

Varela Barraza,

Dávila Legorreta,

Huerta Hernandez

et al. 2024

Cureus

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Urachal abnormalities are infrequent pathologies characterized by the failure of obliteration of the urachal canal, resulting in a persistent fibrous cord. The initial diagnosis approach can be done with ultrasonography; however, computed tomography is considered a standard diagnostic method. The preferred method for relieving symptoms and reducing recurrence is surgical excision. This is a case of a 45year-old man with recurrent urinary tract infections, suprapubic pain, and umbilical fetid discharge who underwent laparoscopic umbilicus-sparing excision.

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Case of Infected Urachal Cyst in an Adult Presenting as an Incarcerated Umbilical Hernia

Cited by 3 publications

References 4 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

Umbilical cord cysts: Classification, diagnosis, prognosis, and pregnancy recommendations

Laparoscopic Umbilicus-Sparing Excision of Symptomatic Patent Urachus in Adulthood: Case Report and a Review of the Literature

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