Infected urachal cyst in an adult: A case report

Abstract

The urachus is an embryologic remnant which degenerates after the birth. An infected urachal cyst is one of a spectrum of presentations of urachal pathology, all of which are rare in adulthood. Infected urachal cyst is a rare pathology in adult women and it should be considered in the differential diagnosis of acute abdomen. We report here a case of a 50-year-old women with an infected urachal cyst reveled by an acute abdomen.

Acute Presentation of Urachal Cyst: A Case Report

“…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.…”

“…The incidence of urachal cyst in adults is unknown [4][5]. 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].…”

“…Imaging techniques such as ultrasonography, CT, and MRI are the main modalities employed for the diagnosis of a urachal cyst [6]. The urachal cyst appears hypoechoic on ultrasonography and as a well-defined homogenous lesion occupying the prevesical space on CT [6].…”

“…Imaging techniques such as ultrasonography, CT, and MRI are the main modalities employed for the diagnosis of a urachal cyst [6]. The urachal cyst appears hypoechoic on ultrasonography and as a well-defined homogenous lesion occupying the prevesical space on CT [6]. Ultrasound can also reveal the presence of internal echoes within an infected cyst and can be used to guide diagnostic aspirations [9].…”

Infected urachal cyst: an uncommon cause of severe sepsis in a neonate

“…Many complications could occur including infection, intracystic bleeding, bowel fistula and malignancy. 3 Infected urachal cysts can mimic appendicitis, Meckel diverticulum or ovarian torsion. They can rarely rupture leading to peritonitis.…”