Urachal cyst is a rare lesion in the adult. Prompt diagnosis and management are important to avoid complications. Recently we experienced a case of infected urachal cyst complained of suprapubic mass and pain in 30 year old female.
Adult ; Diagnosis ; Female ; Humans ; Urachal Cyst*

Remnant urachal cyst is a rare anomaly with an incidence of 1:5,000 and the majority are benign. The treatment of urachal cyst is complete surgical resection, and the cases of laparoscopic surgery for the resection have been reported since 1993. Most of the reports were about transabdominal laparoscopic approach, and it has been revealed that multiple skin incisions and trocar placements on upper abdomen were ineludible. With this condition, we are able to describe an extraperitoneal approach modified from total extraperitoneal herniorrhaphy, and to report a case of successful management of a urachal cyst by total extraperitoneal laparoscopic excision.
Abdomen ; Herniorrhaphy ; Incidence ; Laparoscopy ; Skin ; Surgical Instruments ; Urachal Cyst

No abstract available.
Abscess* ; Adult* ; Diabetes Mellitus ; Humans ; Pyelonephritis* ; Urachal Cyst

Xanthogranulomatous cystitis (XC) is a very rare benign chronic inflammatory disease of unclear etiology. Herein is reported the case of a 46-year-old woman who presented with a painless lower abdominal palpable mass. According to the cystoscopic, ultrasonographic and enhanced computed tomographic (CT) findings, a urachal carcinoma could be suggested. Partial cystectomy was performed as the presence of a urachal carcinoma could not be ruled out. There was no recurrence of the XC more than 12 months after the partial cystectomy.
Cystectomy ; Cystitis* ; Female ; Humans ; Middle Aged ; Recurrence ; Urachal Cyst

Xanthogranulomatous cystitis (XC) is a very rare benign chronic inflammatory disease of unclear etiology. Herein is reported the case of a 46-year-old woman who presented with a painless lower abdominal palpable mass. According to the cystoscopic, ultrasonographic and enhanced computed tomographic (CT) findings, a urachal carcinoma could be suggested. Partial cystectomy was performed as the presence of a urachal carcinoma could not be ruled out. There was no recurrence of the XC more than 12 months after the partial cystectomy.
Cystectomy ; Cystitis* ; Female ; Humans ; Middle Aged ; Recurrence ; Urachal Cyst

Urachal anomalies are very rare. Since Cabrolius' report of patent urachus in 1550, only 315 cases have been collected in the literature. Failure of the urachal lumen to close and completely obliterate causes one of several anomalies. These have been classified into four distinct entities by Blichert-Tott and Neilsen, Who also tabulated the incidence of each variant in the 315 reported cases : patent urachus , 48 per cent ; urachal cyst , 31 percent ; urachal sinus or alternating sinus, 18 per cent , and vesicourachal diverticulum, per cent . A brief discussion of embryology, symptoms , histopathology , diagnosis and treatment is made and a case of congenital patent urachus is reported here at Korea General Hospital.
Diagnosis ; Diverticulum ; Embryology ; Hospitals, General ; Incidence ; Korea ; Urachal Cyst ; Urachus*

PURPOSE: Although relatively rare, urachal remnants manifest as a large number of diverse disorders, which can lead to a high misdiagnosis rate. Because of the many clini-cal pre-sentations, there are no uniform guidelines for the evaluation and treatment of urachal remnants. We report our experi-ence with urachal anomalies in an attempt to establish an optimal diagnostic and treatment modality. METHODS: Fifteen patients (6 males and 9 females), who had undergone surgery for urachal anomalies from December 1988 to July 2004, were analyzed retrospectively. RESULTS: The patients' age ranged from 1 day to 71 years old. The 3 variants of urachal anomalies included a patent urachus in 1 patients (7%), urachal sinus in 5 (33%), and an urachal cyst in 9 (60%). The presenting complaint was a low abdominal mass in 6 patients, abdominal pain in 5, periumbilical discharge in 3, fever in 3, and periumbilical urination in 2. Four combined anomalies were observed in 4 patients. The diagnostic evaluation included fistulography in 3 cases, sonography in 12, and CT in 3. Excision was performed in 12 patients. CONCLUSION: Urachal anomalies most often present in infancy, and can be diagnosed and treated with certainty if a good physical examination and proper imaging studies are performed. Surgical excision is the treatment of choice for urachal anomalies.
Abdominal Pain ; Aged ; Diagnostic Errors ; Fever ; Humans ; Male ; Physical Examination ; Retrospective Studies ; Urachal Cyst ; Urachus ; Urination

Stone-containing urachal cysts are extremely rare in adults. Here, we report the case of a 58-year-old man with a urachal cyst who had lower abdominal pain and urinary frequency. Abdominal ultrasonography and computed tomography showed hyperdense stones in the urachus. He was treated with a laparoscopic excision using a transperitoneal approach. The pathological diagnosis was an inflammed urachal cyst. This rare case illustrates an inflammed urachal cyst containing stones treated with laparoscopy.
Humans ; *Laparoscopy ; Male ; Middle Aged ; Urachal Cyst/pathology/radiography/*surgery ; Urinary Bladder Calculi/pathology/radiography/*surgery

OBJECTIVETo probe into the diagnosis and treatment of urachal remnants with heterotopic sinus.

METHODSTwo cases with penis dorsal drainage for 5 approximately 6 years were diagnosed as urachal anomaly by sinus probing, methylene blue injection test, cystoscope examination, and type B ultrasonic examination, and both received surgical removal of the urachus and all the abnormal tissues associated with it.

RESULTSSurgery and pathology proved urachal cyst with communication drainage in both of the patients. Follow-up survey showed no recurrence and malignancy.

CONCLUSIONSinus probing, mythylene blue injection test and type B ultrasonic examination are effective methods for the diagnosis of urachal remnants with heterotopic sinus. Surgical treatment should include radical removal of the urachus and the abnormal tissues associated with it.

Adult ; Cystoscopy ; Humans ; Male ; Methylene Blue ; Urachal Cyst ; diagnosis ; pathology ; Urachus ; abnormalities ; pathology ; surgery

A 26-year-old man presented with lower abdominal discomfort and a palpable mass in the right lower quadrant. An abdominal computed tomography (CT) scan revealed an abdominal wall mass that extended from the dome of the bladder. Fluorine-18 fluorodeoxyglucose (FDG) positron-emission tomography/CT (PET/CT) showed hypermetabolic wall thickening around the bladder dome area that extended to the abdominal wall and hypermetabolic mesenteric infiltration. Differential diagnosis included a urachal tumor with invasion into adjacent organs and chronic inflammatory disease. Partial cystectomy with abdominal wall mass excision was performed, and the final pathologic report was consistent with urachal actinomycosis.
Abdominal Wall ; Actinomycosis ; Adult ; Cystectomy ; Diagnosis, Differential ; Humans ; Positron-Emission Tomography ; Urachal Cyst ; Urinary Bladder