Vandeloise Jonathan, Fievez Martin J, Couvreur Céline, Steenebruggen Françoise
Emergency Department, Cliniques Universitaires Saint Luc, Brussels, BEL.
Radiology Department, Cliniques Universitaires Saint Luc, Brussels, BEL.
Cureus. 2024 Aug 26;16(8):e67787. doi: 10.7759/cureus.67787. eCollection 2024 Aug.
The urachus is a remnant of the fetal duct that typically obliterates and becomes a fibrous cord after birth. However, in rare cases where this process fails, urachal cysts and other abnormalities can form, often remaining undiagnosed due to their asymptomatic nature. Infection is the primary complication and can be misdiagnosed due to the cyst's obscurity and varied presentations. Delayed diagnosis can lead to severe complications such as sepsis, fistula formation, and cyst rupture, potentially causing peritonitis. This paper discusses a 48-year-old male who consulted in the emergency department with acute abdominal symptoms, was diagnosed with an infected urachal cyst via imaging and successfully treated with antibiotics and subsequent surgical excision.
脐尿管是胎儿导管的残余物，通常在出生后闭塞并成为纤维索。然而，在极少数情况下，这个过程会失败，脐尿管囊肿和其他异常情况可能会形成，由于它们无症状的性质，常常未被诊断出来。感染是主要并发症，由于囊肿位置隐匿和表现多样，可能会被误诊。延迟诊断可能导致严重并发症，如败血症、瘘管形成和囊肿破裂，可能引发腹膜炎。本文讨论了一名48岁男性，他因急性腹部症状到急诊科就诊，经影像学检查诊断为感染性脐尿管囊肿，并通过抗生素治疗及随后的手术切除成功治愈。
