Yusuf Shabana, Wassef Audrey C, Schlesinger Alan
Department of Pediatrics, Division of Pediatrics Emergency Medicine, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
Medical Student (MS3), Baylor College of Medicine, Houston, Texas.
J Emerg Med. 2019 Apr;56(4):e51-e54. doi: 10.1016/j.jemermed.2019.01.006. Epub 2019 Mar 14.
Urachal cysts are remnants of urachal ducts and usually present when they get infected or undergo malignant transformation.
A 4-year-old girl presented to the Emergency Department (ED) with intermittent abdominal pain, fever, dysuria, and umbilical swelling. She was diagnosed with an abscess related to an infected urachal cyst by ultrasound. The patient was treated with antibiotics, and the abscess was drained by Interventional Radiology with ultrasound guidance. She recovered uneventfully and was discharged home. The urachal cyst was excised a month later. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Though urachal cysts are rare, it is important to consider this entity in the differential diagnosis of acute abdomen and recurrent abdominal pain in the ED setting.
脐尿管囊肿是脐尿管的残余物，通常在受到感染或发生恶性转化时出现。
一名4岁女孩因间歇性腹痛、发热、排尿困难和脐部肿胀就诊于急诊科。经超声检查，她被诊断为与感染性脐尿管囊肿相关的脓肿。患者接受了抗生素治疗，并在超声引导下由介入放射科进行脓肿引流。她恢复顺利并出院回家。一个月后切除了脐尿管囊肿。急诊科医生为何应了解此情况？：尽管脐尿管囊肿罕见，但在急诊科对急腹症和复发性腹痛进行鉴别诊断时，考虑这一病症很重要。
