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.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828462 | PMC |
| http://dx.doi.org/10.7759/cureus.21092 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Umbilical Cord Cysts from the Second Trimester of Pregnancy: Clinical Insights from 12 Cases of a 22-year Study in a Single Tertiary Center.
Kurume Med J
November 2024
Department of Obstetrics and Gynecology, Kurume University School of Medicine.
This study aimed to explore the clinical characteristics of umbilical cord cysts (UCCs) detected from the second trimester onwards in a single tertiary center over a 22-year period. The subjects consisted of a total of 12 cases of UCCs among 11 pregnant women (10 singleton pregnancies and 1 twin pregnancy), diagnosed at ≥ 14 weeks of gestation, and managed at Kurume University Hospital from 2000 to 2021. The maternal backgrounds, characteristics of the cysts, including their location, numbers, sizes, associated fetal/neonatal findings, and outcomes, were analyzed retrospectively.
View Article and Find Full Text PDFAn Infected Urachal Cyst With Umbilical Granuloma in an Adult Patient.
Cureus
September 2024
Graduate Medical Education, CarePoint Health-Christ Hospital, Jersey City, USA.
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.
View Article and Find Full Text PDFAn 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.
Unmasking a Rare Cause of Acute Abdomen in Adults: A Case Report of an Infected Urachal Cyst.
Cureus
August 2024
Emergency Department, Cliniques Universitaires Saint Luc, Brussels, BEL.
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.
Evaluating Umbilical Masses: Lessons Learned From Three Elderly Patients.
Cureus
August 2024
Department of Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, MYS.
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.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!