Murshid Mohsin Yahya, Ghandourah Mohammed, AlShamrani Abdulmalik, AlZahrani Saeed Ahmed
Department of General Surgery, Hera General Hospital, Al Madinah Al Munawarah Rd, Makkah 24227, Saudi Arabia.
J Surg Case Rep. 2025 May 30;2025(5):rjaf359. doi: 10.1093/jscr/rjaf359. eCollection 2025 May.
Urachal cysts are rare congenital anomalies arising from incomplete obliteration of the urachus, an embryological connection between the bladder and umbilicus. This report describes a 33-year-old man who presented with acute abdominal pain, constipation, and umbilical discharge. Diagnostic imaging, particularly computed tomography scans, revealed a thick-walled, fluid-filled cystic lesion adjacent to the umbilicus, indicative of an infected urachal cyst without evidence of bowel involvement. Diagnosing urachal anomalies in adults remains challenging due to their rarity and nonspecific clinical presentation, emphasizing the importance of imaging for accurate identification and targeted surgical intervention. The patient underwent successful surgical excision with drainage of the associated umbilical sinus and abscess, achieving satisfactory postoperative recovery. This case highlights the necessity of clinician awareness and prompt management of urachal cysts to prevent serious complications, such as persistent infection, abscess formation, or malignant transformation.
脐尿管囊肿是一种罕见的先天性异常，由脐尿管未完全闭锁引起，脐尿管是膀胱与脐之间的胚胎学连接结构。本报告描述了一名33岁男性，他出现急性腹痛、便秘和脐部渗液。诊断性影像学检查，尤其是计算机断层扫描显示，脐旁有一个厚壁、充满液体的囊性病变，提示为感染性脐尿管囊肿，无肠道受累证据。由于成人脐尿管异常罕见且临床表现不具特异性，因此诊断仍具有挑战性，这凸显了影像学检查对于准确识别和针对性手术干预的重要性。患者接受了成功的手术切除，并引流了相关的脐窦和脓肿，术后恢复良好。该病例强调了临床医生认识并及时处理脐尿管囊肿以预防严重并发症（如持续感染、脓肿形成或恶变）的必要性。
