Watkins-Granville Naomi M, Parikh Saumil, Liguori Tyler, Brahmbhatt Ravikumar, Tsompanidis Antonios
General Surgery, CarePoint Health-Christ Hospital, Jersey City, USA.
General Surgery, Rowan-Virtua School of Osteopathic Medicine, Stratford, USA.
Cureus. 2024 Sep 30;16(9):e70559. doi: 10.7759/cureus.70559. eCollection 2024 Sep.
The urachus, an embryonic organ associated with the bladder, typically undergoes degeneration shortly after birth. Inadequate closure of the urachus can result in urachal malformations, with the most common being a urachal cyst. Failure to promptly identify and address this condition can lead to complications such as sepsis, fistula development, and cyst rupture, mimicking symptoms of peritonitis. Therefore, maintaining a heightened level of suspicion is crucial for timely diagnosis and effective management of urachal cysts, particularly in emergency room settings. We present the case of a 24-year-old male who exhibited clinical signs consistent with an acute abdomen. The use of imaging techniques confirmed the presence of an infected urachal cyst, which was successfully treated through surgical intervention.
脐尿管是一种与膀胱相关的胚胎器官，通常在出生后不久就会退化。脐尿管闭合不全可导致脐尿管畸形，最常见的是脐尿管囊肿。未能及时识别和处理这种情况可能会导致诸如败血症、瘘管形成和囊肿破裂等并发症，这些症状类似于腹膜炎。因此，保持高度的怀疑对于脐尿管囊肿的及时诊断和有效管理至关重要，尤其是在急诊室环境中。我们报告一例24岁男性病例，其临床表现与急腹症相符。影像学检查证实存在感染性脐尿管囊肿，通过手术干预成功治疗。
