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

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*

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

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

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

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

The urachus is a normal embryonic remnant of the primitive dome. It generally exists as a fibrous cord extending from the dome of the bladder to the umbilicus. Disorders of the urachus are developed as a result of its incomplete regression. The urachal cyst is the most common urachal anomaly, and is usually asymptomatic in infancy and childhood. However, when the cysts are large or accompanied with secondary infection, they may be detected in its early stage. A sonography or CT scan may be helpful to confirm the diagnosis of urachal cyst. The managements of infected urachal cyst are varied from simple drainage to radical excision. Here, we report an unusual case of urachal cyst infection that occurred during corticosteroids therapy in a girl with IgA nephropathy.
Adrenal Cortex Hormones ; Coinfection ; Drainage ; Glomerulonephritis, IGA ; Humans ; Immunoglobulin A ; Umbilicus ; Urachal Cyst ; Urachus ; Urinary Bladder

Patent urachus results when there is a persistence of an allantosis remnant which normally undergoes atresia during embryological development. Failure of urachal obliteration may result in 4 different types of urachal remnants: complete patency or vesicoumbilical fistula, vesicourachal diverticulum, urachal sinus and urachal cyst. In prenatal ultrasound, we found a large cyst in the umbilical cord. At term, the patient underwent primary cesarean section with delivery of a 3100 g female infant. After delivery, we found the communication of urinary bladder by fistulogarm. The infant underwent repair and closure of the patent urachus.
Cesarean Section ; Diverticulum ; Female ; Fistula ; Humans ; Infant ; Pregnancy ; Ultrasonography ; Umbilical Cord ; Urachal Cyst ; Urachus* ; Urinary Bladder