Recurrent Abdominal Wall Inflammation After Resection of Urachal Xanthogranuloma
10.22465/kjuo.2018.16.2.82
- Author:
Sung Yong CHO
1
Author Information
1. Department of Urology, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. csy1204@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Urinary bladder;
Urachus;
Xanthogranuloma
- MeSH:
Abdominal Pain;
Abdominal Wall;
Abscess;
Adult;
Anti-Bacterial Agents;
Cystectomy;
Drainage;
Female;
Humans;
Inflammation;
Juglans;
Umbilicus;
Urachus;
Urinary Bladder
- From:Korean Journal of Urological Oncology
2018;16(2):82-85
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a very rare case of urachal xanthogranuloma. In this case, the inflammation recurred after 9 months even though it was removed by surgical resection. A 43-year-old woman presented with low abdominal walnut sized round mass, mild abdominal pain, and no specific voiding symptoms. Through radiologic evaluation with computed tomography (CT), we observed an infiltration in surrounding tissues of urachal mass from anteriosuperior aspect of bladder until umbilicus, so urachus inflammation as well as malignant tumor of urachus origin was suspected. Urachal mass excision and partial cystectomy were conducted with low midline incision and it was reported pathologically as xanthogranulomatous inflammation. Afterwards the patient lived without inconvenience but after 9 months she returned because of pain and palpable nodule in the right lower abdominal area. Despite taking antibiotics, there was no improvement and abscess formation was observed in CT. Finally, its symptoms improved after abscess incision and drainage.
