Urachal Cyst

2021 ◽  
Author(s):  
Ankita Chauhan ◽  
Preet K. Sandhu, MD
Keyword(s):  
Urachal Cyst

scholarly journals Mesenteric Cysts: A Retrospective Review. Its Not All That Simple

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S117-S118
Author(s):  
M Bourgeau ◽  
V Avadhani
Keyword(s):  
Cyst Wall ◽  
Imaging Techniques ◽  
Case Reports ◽  
Lymphatic Vessels ◽  
Mucinous Cystadenoma ◽  
Final Diagnosis ◽  
Cystic Mass ◽  
Pathological Examination ◽  
Urachal Cyst ◽  
Mesenteric Cysts

Abstract Introduction/Objective Mesenteric cysts are rare intra-abdominal lesions in adults. However, with the advanced imaging techniques and laparoscopic techniques, they are more often being identified and resected when clinically significant. There is a lack of detailed information in histopathology (except as case reports) since mesentery is generally neglected in our organ-based textbooks. The aim of our study is to highlight the importance of identifying and classifying mesenteric cystic lesions; they are not all that simple. Methods We performed a retrospective search on all mesenteric cysts submitted as excisions in our electronic database from 2013-2019. We classified them as per the de Perrot (PMID: 11053936) classification with modification. Results Our search showed: A. Lymphatic origin-11 (lymphangioma-10, Lymphangioma hamartomatous-1, associated with LAM-0), B. Mesothelial origin-68 (Benign mesothelial cysts-57, multilocular mesothelial cyst-11), C. Enteric origin- 3, D. Urogenital origin (Urachal cyst, mullerian inclusion cyst)-9, E. Mature cystic teratom-2, F. Pseudocyst-12, G. Epithelial cyst (not urogenital)- 11 (a/w LAMN-3, MCN-4, Mucinous cystadenoma-4), H. Associated with carcinoma-2. Case illustration: A 61-year-old male presented with worsening dysphagia, emesis and hiccups. A CT scan showed a 21.2 cm cystic mass with at least one septation (Fig 1). The cyst was resected. On gross pathological examination, the cyst measured 18 cm in greatest dimension with a thick, rough, tan-brown capsule. Microscopic examination showed a fibrous capsule, and cyst wall composed of numerous lymphatic vessels (CD31 positive) and prominent smooth muscle proliferation (Desmin positive). Scattered lymphoid aggregates were also present throughout the cyst wall. No definite epithelial lining was identified and was suspected to have been denuded. HMB-45 immunostain was negative, ruling out association with LAM. The final diagnosis of a Lymphangiomyoma, hamartomatous was rendered. Conclusion Though most of the mesenteric cysts are benign, some of them are significantly important such as Lymphangiomyoma (esp secondary to LAM), MCN, those associated with LAMN etc. and identifying and differentiating from their mimics has distinct clinical implications.

scholarly journals An Unusual Case of Meckel Diverticulitis Misdiagnosed as an Infected Urachal Cyst

Medicina ◽  
2021 ◽  
Vol 57 (5) ◽  
pp. 495
Author(s):  
Ioana Anca Stefanopol ◽  
Magdalena Miulescu ◽  
Liliana Baroiu ◽  
Aurelian-Dumitrache Anghele ◽  
Dumitru Marius Danila ◽  
...  
Keyword(s):  
Meckel’S Diverticulum ◽  
Surgical Excision ◽  
Cyst Formation ◽  
Meckel's Diverticulum ◽  
Urachal Cyst ◽  
Macroscopic Appearance ◽  
Surgical Interventions ◽  
Bladder Dome ◽  
Low Sensitivity ◽  
Tract Infections

Introduction: Meckel’s diverticulum (MD), a remnant of the omphaloenteric duct, is among the most frequent intestinal malformations. Another embryonic vestige is the urachus, which obliterates, becoming the median umbilical ligament; the failure of this process can lead to a urachal cyst formation. We present a case of Meckel diverticulitis misdiagnosed as an infected urachal cyst. Presentation of case: A 16-year-old girl presented with hypogastric pain, fever and vomiting. She had undergone an appendectomy 6 years prior and no digestive malformation had been documented. In the last 2 years, she had 3 events of urinary tract infections with Escherichia coli, and anabdominal ultrasound discovered a 28/21 mm hypoechogenic preperitoneal round tumor, anterosuperior to the bladder. We established the diagnosis of an infected urachal cyst, confirmed later by magnetic resonance imaging. Intraoperative, we found MD with necrotic diverticulitis attached to the bladder dome. Discussions: Meckel’s diverticulum and urachal cyst (UC) are embryonic remnants. Both conditions are usually asymptomatic, being incidentally discovered during imaging or surgery performed for other abdominal pathology. Imaging diagnosis is accurate for UC, but for MD they are low sensitivity and specificity. For UC treatment, there is a tendency to follow an algorithm related to age and symptoms, but there is no general consensus on whether to perform a routine resection of incidentally discovered MD. Conclusion: Preoperatory diagnosis of MD represents a challenge. We want to emphasize the necessity of a thorough inspection of the small bowel during all abdominal surgical interventions and MD surgical excision regardless of its macroscopic appearance. These two actions seem to be the best prophylaxis measures for MD complications and consequently to avoid emergency surgery, in which case more extensive surgical procedures on an unstable patient may be needed.

scholarly journals Dysuria, Rebound Tenderness, and a Palpable Mass—A Ticking Time Bomb

2021 ◽  
Author(s):  
Tyler Miklovic ◽  
Philip Davis
Keyword(s):  
Emergency Department ◽  
Case Reports ◽  
Pubic Symphysis ◽  
Subsequent Treatment ◽  
Urachal Cyst ◽  
Significant Morbidity ◽  
Palpable Mass ◽  
Rebound Tenderness ◽  
Patient Reported ◽  
Middle Aged Adult

ABSTRACT A 37-year-old male presented to the emergency department with the complaint of periumbilical abdominal pain, radiating to just above pubic symphysis. The patient reported that the pain was worse with urination and associated with chills and nausea. This case reports discusses the Emergency Department (ED) course and subsequent treatment of a patient found to have an infected urachal cyst, a previously asymptomatic embryological anomaly in an otherwise healthy middle-aged adult male. This is a crucial diagnosis to make in order to avoid the potential for significant morbidity and/or mortality, given the unlikely symptomatic source.

scholarly journals Laparoscopic Extraperitoneal Resection of Urachal Cyst

2010 ◽  
Vol 78 (4) ◽  
pp. 267 ◽  
Author(s):  
Sun-Il Lee ◽  
Sung-Soo Kim ◽  
Hong-Young Moon
Keyword(s):  
Urachal Cyst

TRANSITIONAL CELL CARCINOMA IN A URACHAL CYST

1999 ◽  
Vol 162 (5) ◽  
pp. 1687-1688 ◽  
Author(s):  
J. PETER RUBIN ◽  
JOHN M. KASZNICA ◽  
CORNELIUS A. DAVIS ◽  
GENNARO A. CARPINITO ◽  
ERWIN F. HIRSCH
Keyword(s):  
Transitional Cell Carcinoma ◽  
Cell Carcinoma ◽  
Transitional Cell ◽  
Urachal Cyst

scholarly journals A CASE OF URACHAL CYST CAUSING ILEUS

1994 ◽  
Vol 55 (12) ◽  
pp. 3192-3194
Author(s):  
Atsushi MORISUE ◽  
Hisashi SHINOHARA ◽  
Hidetane OONISHI ◽  
Hajime YONEKAWA ◽  
Hiroaki KURIHARA ◽  
...  
Keyword(s):  
Urachal Cyst

scholarly journals Accidental finding of simlex urachal cyst during ultrasonic abdominal examination

2021 ◽  
Vol 22 (2) ◽  
pp. 139-141
Author(s):  
Vladimír Mihál ◽  
Tomáš Malý ◽  
Kamila Michálková
Keyword(s):  
Urachal Cyst ◽  
Abdominal Examination

scholarly journals INFECTED URACHAL CYST IN AN ADULT

2021 ◽  
Vol 29 (4) ◽  
pp. 504-509
Author(s):  
V.S. Zhukovskiy ◽  
◽  
M.V. Pankiv ◽  
V.V. Chaplyk ◽  
V.S. Kozopas ◽  
...  
Keyword(s):  
Anterior Abdominal Wall ◽  
Abdominal Cavity ◽  
Muscle Tension ◽  
Point Of View ◽  
Urachal Cyst ◽  
Urachal Carcinoma ◽  
Atypical Symptoms ◽  
Inflammatory Changes ◽  
Tubular Formation ◽  
Surrounding Skin

Urachus is a tubular formation originating from the top of the urinary bladder and directed to the umbilicus between the peritoneum and the transverse fascia of the abdomen. In an embryo, it serves to divert primary urine to the amniotic fluid. In case, if obliteration of the duct does not occur until the birth, various pathological processes can develop in it. The most common abnomalies of urachus reported in adults are an infected urachal cyst and urachal carcinoma. These diagnoses are not always easy to make due to atypical symptoms of their manifestation and the rarity of these diseases - just two cases per 100,000 hospitalizations of adults. A 22-year-old man with a subcutaneous abscess and anexternal fistula located in theumbilical region with redness of the surrounding skin. 16 hours after dissection and drainaging of the abscess, the patient’s condition worsened, pain in the lower parts of the abdomen began, muscle tension of the anterior abdominal wall and inflammatory changes in blood tests were revealed. The patient was operated on for peritonitis. A two-chambered urachus cyst of the «hourglass» type, with the formation of a dense consistency calculus in one of the cavities, which perforated into the abdominal cavity This clinical case is of the great interest from the point of view of the atypical course and the treatment of a rather rare anomaly in adults. The publication will remind emergency medicine physicians about the possibility of infected urachus in patients with symptoms of acute abdomen.

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