Intraperitoneal rupture of an infected urachus

Horgan, Paul G.; Johnson, Sean; Courtney, D.

doi:10.1111/j.1464-410x.1994.tb07502.x

Cited by 20 publications

(13 citation statements)

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“…In rare cases, spontaneous rupture of an infected cyst into the abdominal cavity occurs and can result in sepsis or generalized peritonitis, 19 which can be severe. 11,20,21 If the bladder is involved, urinary tract infections and symptoms may also be present. 2 Although diagnosis is typically made with CT imaging, ultrasonography can also be useful.…”

Section: Discussionmentioning

confidence: 99%

Infected Urachal Cyst Following Laparoscopic Cholecystectomy

Jackson

Cusano

Murphy

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Infected Urachal Cyst Following Laparoscopic Cholecystectomy

Jackson

Cusano

Murphy

et al. 2015

CRSLS

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“…Mit Hilfe von Sonographie und Computertomographie können Urachuszysten nachgewiesen werden [1,6,7].Die Durchführung einer Ausscheidungsurographie und einer Miktionszystourethrographie werden empfohlen,um weitere Anomalien nachzuweisen oder auszuschließen [9]. Eine Sinographie kann hilfreich sein, wenn eine Kommunikation zwischen der Urachuszyste und dem Umbilikus besteht.…”

Section: Klinik Und Diagnostikunclassified

“…Bei akutem Abdomen mit peritonitischer Klinik und absoluter Indikation für eine sofortige Laparotomie wird von einigen Autoren auf präoperative radiologische Untersuchungen verzichtet [7].…”

Section: Klinik Und Diagnostikunclassified

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Blasenruptur durch spontane Perforation einer infizierten Urachuszyste

2003

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Anomalies of the fetal urachus are rare. Normally, the postnatal urachus presents as a fibrous band extending from the bladder to the umbilicus. Urachal cysts may occur in postnatal life. Spontaneous perforation of urachal cysts is a very rare condition, which clinically may not be distinguishable from other acute abdominal conditions. We report a case of a 63-year-old male with a history of recurrent urinary tract infections and a bladder rupture caused by a spontaneous perforation of an infected urachal cyst. The symptomatology showed abdominal rigidity and pain, a palpable mass in the lower abdomen, and hematuria. Laboratory findings showed leukocytosis and an increased CRP level. The bladder rupture was confirmed by cystography. Bacteriologic examination identified Proteus vulgaris, Corynebacterium species, and Klebsiella pneumoniae. Most of the published cases in the literature report about intraperitoneal perforation of infected urachal cysts. In the present case, we found a spontaneous perforation of an infected urachal cyst leading to an extraperitoneal bladder rupture with an extraperitoneal limitation of the infection. The definitive therapy was complete surgical excision including a cuff of the bladder, drainage, and systemic broad-spectrum and local application of antibiotics. The further course was uneventful.

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“…7 In only a third of patients are urachal cysts discovered in infancy or childhood. Infected urachal remnants may be present at any age, in early childhood, 5,[8][9][10] in young adults, 11-13 and in older adults. [14][15][16][17] The complete excision of a persistent urachus is important to prevent the development of malignant change in later life.…”

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confidence: 99%