Al Furaikh Bashayer F, Alzahrani Naif A, Alghamdi Alhassan A, AlBalawi Mashael Z, Alghamdi Fares G, Alzahrani Turki A, Alghamdi Mohammed S, Alkhatib Mohamad I, Alshammari Malak A
College of Medicine, King Faisal University, Al-Ahsa, SAU.
College of Medicine, Al-Baha University, Al-Baha, SAU.
Cureus. 2021 Sep 22;13(9):e18193. doi: 10.7759/cureus.18193. eCollection 2021 Sep.
Abdominal pain is a common cause of emergency department visits. It often poses a diagnostic challenge for physicians given the broad spectrum of its possible medical and surgical etiologies. We report the case of a 32-year-old man who presented to the emergency department with a complaint of lower abdominal pain for one week. Abdominal examination revealed suprapubic mass and tenderness. Laboratory investigation revealed elevated leukocyte count and inflammatory markers. An abdominal ultrasound examination showed a collection with poorly defined borders. Additionally, CT demonstrated a soft tissue mass adjacent to the anterior abdominal wall with an upward track to the umbilicus, conferring the diagnosis of a urachal abscess. The patient underwent successful management of the abscess with surgical excision. This case highlights the importance for clinicians to be aware of congenital urachal anomalies since early recognition of the urachal cyst is essential to determine the proper surgical management.
腹痛是急诊科就诊的常见原因。鉴于其可能的内科和外科病因范围广泛，它常常给医生带来诊断挑战。我们报告一例32岁男性病例，该患者因下腹部疼痛一周前来急诊科就诊。腹部检查发现耻骨上肿块和压痛。实验室检查显示白细胞计数和炎症标志物升高。腹部超声检查显示一个边界不清的液性包块。此外，CT显示前腹壁旁有一个软组织肿块，并有一条向上至脐部的通道，确诊为脐尿管脓肿。患者通过手术切除成功治疗了脓肿。该病例强调了临床医生认识先天性脐尿管异常的重要性，因为早期识别脐尿管囊肿对于确定恰当的手术治疗至关重要。
