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The urachus, an embryonic organ associated with the bladder, typically undergoes degeneration shortly after birth. Inadequate closure of the urachus can result in urachal malformations, with the most common being a urachal cyst. Failure to promptly identify and address this condition can lead to complications such as sepsis, fistula development, and cyst rupture, mimicking symptoms of peritonitis.

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An infected urachal cyst forming an abscess: A case report.

Radiol Case Rep

December 2024

Department of Radiology, Faculty of Medicine, Universitas Padjadjaran, Jatinangor, Indonesia.

Article Synopsis
  • * A 27-year-old woman experienced a lump in her lower abdomen that grew over three months, eventually bursting and leaking pus and blood, leading to a diagnosis via CT-scan and ultrasonography.
  • * Despite the potential for serious complications, like infections or malignancy, the patient chose not to pursue treatment, highlighting the need for accurate diagnosis and timely intervention for urachal anomalies in adults.
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Article Synopsis
  • The urachus is a fetal structure that usually becomes a fibrous cord after birth, but sometimes it doesn't fully close, leading to the formation of urachal cysts and other abnormalities.
  • These cysts are often asymptomatic and can go undetected, with infections being a major complication that may be misdiagnosed due to their subtle signs and varied symptoms.
  • The case study involves a 48-year-old man who experienced acute abdominal pain, was diagnosed with an infected urachal cyst through imaging, and successfully treated with antibiotics and surgery.
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Article Synopsis
  • * The case series discusses three elderly women with similar umbilical-related issues, highlighting the diagnostic challenges due to similarities with benign conditions.
  • * Accurate diagnosis requires integrating clinical findings, imaging results, and pathology, as seen in the differing outcomes: a Sister Mary Joseph nodule, liposarcoma, and an infected urachal cyst.
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Article Synopsis
  • - Omphalitis is a rare infection of the umbilicus, typically causing inflammation; it's uncommon in adults but can occur due to urachal remnants.
  • - A 61-year-old male with abdominal pain and umbilical pus was diagnosed with peritonitis from a ruptured urachal cyst, leading to multiple abscesses.
  • - The patient underwent laparoscopic surgery to drain abscesses and remove the umbilicus and fistula, received antibiotics, and was discharged without complications; the case highlights the difficulties in diagnosing omphalitis related to urachal cysts.
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