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Case Report
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| An unusual presentation of infected urachal cyst in an adult | ||||||
| Anand Munghate1, Ashwani Kumar2, Harnam Singh3, Mahak Chauhan4, Gurpreet Singh5, Manish Yadav5 | ||||||
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1MS (General Surgery), Junior Resident, Department of General Surgery, Government Medical College, Patiala, Punjab, India.
2M.S (General Surgery), Professor, Department of General Surgery, GovernmentMedical College, Patiala, Punjab, India. 3MS (General Surgery), Assistant Professor, Department of General Surgery,GovernmentMedical College, Patiala, Punjab, India. 4MBBS, Intern, Department of General Surgery, Government Medical College, Patiala, Punjab, India. 5MS (General Surgery), Junior Resident, Department of General Surgery, GovernmentMedical College, Patiala, Punjab, India. | ||||||
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| How to cite this article: |
| Munghate A, Kumar A, Singh H, Chauhan M, Singh G, Yadav M. An unusual presentation of infected urachal cyst in an adult. International Journal of Case Reports and Images 2014;5(3):240–243. |
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Abstract
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Introduction:
Urachus, median umbilical ligament, is normally obliterated in early infancy. So being remnant, is uncommon in adults. Delay in diagnosis and management can present with complications like drainage from umbilicus, severe abdominal infection, cyst with stone formation, fistula to urinary bladder, peritonitis, lump abdomen or carcinoma. Diagnosis remains challenging due to the rarity of this lesion and the non-specific nature of its symptomatology.
Case Report: We report a case of a 35-year-old female presenting with umbilical sepsis with abdominal (suprapubic) pain. Investigations and laparotomy lead us to a confirmative diagnosis of infected urachal cyst. Conclusion: Urachal anomalies are rare in adults. Presentation is atypical therefore a high index of suspicion is required in order to achieve a diagnosis. Complete surgical excision is the treatment of choice due to the risk of malignant transformation. | |
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Keywords:
Urachus, Urachal cyst, Umbilicus
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Author Contributions
Anand Munghate – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Ashwani Kumar – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Harnam Singh – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Mahak Chauhan – Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Gurpreet Singh – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Manish Yadav – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Anand Munghate et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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