A urachal cyst is a sinus remaining from the allantois during embryogenesis. It is a cyst which occurs in the remnants between the umbilicus and bladder.[1] This is a type of cyst occurring in a persistent portion of the urachus, presenting as an extraperitoneal mass in the umbilical region. It is characterized by abdominal pain, and fever if infected. It may rupture, leading to peritonitis, or it may drain through the umbilicus.[1] Urachal cysts are usually silent clinically until infection, calculi or adenocarcinoma develop.[2]
| Urachal cyst | |
|---|---|
| Specialty | Medical genetics  |
Symptoms and signs
edit- Lower abdominal pain
- Pain on urination
- Persistent umbilical discharge
- Fever
- Urinary tract infection
- Lump
- Hematuria
Diagnosis
editUrachal cysts are rare defects found mostly in young children and hence medical ultrasound of the abdomen, bladder and pelvis is the most used diagnostic tool combined with MRI scan and CT scan in older patients who can remain still during a scan.[3][4]
See also
editReferences
edit- ^ a b "Urachal cyst - RightDiagnosis.com".
- ^ "Urachus". Medcyclopaedia. GE. Archived from the original on 2009-03-08.
- ^ "Urachal cyst". USA National Institutes of Health.
- ^ Hassan, Shadwa; Koshy, June; Sidlow, Richard; Leader, Hadassa; Horowitz, Mark (2017). "To excise or not to excise infected urachal cysts: A case report and review of the literature". Journal of Pediatric Surgery Case Reports. 22: 35–38. doi:10.1016/j.epsc.2017.05.003.