Abscess formation as a complication of a ruptured urachal cyst

被引:13
作者
Ilica A.T. [1 ]
Mentes O. [2 ]
Gur S. [1 ]
Kocaoglu M. [3 ]
Bilici A. [4 ]
Coban H. [5 ]
机构
[1] Radiology Department, Diyarbakir Military Hospital, Diyarbakir
[2] Abdominal Surgery Department, Gulhane Military Medical School, Gulhane
[3] Department of Radiology, Gulhane Military Medical School, Gulhane
[4] Radiology Department, Dicle University, Dicle
[5] Urology Department, Diyarbakir Military Hospital, Diyarbakir
关键词
Abscess; CT; Rupture; Urachal cyst;
D O I
10.1007/s10140-006-0560-2
中图分类号
学科分类号
摘要
The urachus is a midline tubular structure that extends upward from the dome of the bladder toward the umbilicus. This tubular structure normally involutes before birth, remaining as a fibrous band with no known function. Persistence of all or any portion of the fetal urachus results in several anomalies, the most common of which is the urachal cyst (Yu JS, Kim KW, Lee HJ, Lee YJ, Yoon CS, Kim MJ, Radiographics, 21:451-4611, 2001; Ohgaki M, Higuchi A, Chou H, Takashina K, Kawakami S, Fujita Y, Hagiwara A, Yamagishi H, Surg Today, 33:75-77, 2003). Although most urachal cysts are asymptomatic, there are a few reports about intraperitoneal rupture of infected urachal cysts, all of which caused peritonitis and sepsis (Ohgaki M, Higuchi A, Chou H, Takashina K, Kawakami S, Fujita Y, Hagiwara A, Yamagishi H, Surg Today, 33:75-77, 2003; Kojima Y, Miyake O, Taniwaki H, Morimoto A, Takahashi S, Fujiwara I, Int J Urol, 10:174-176, 2003; Agatstein EH, Stabile BE, Arch Surg, 119:1269-1273, 1984). We report the imaging and operative findings of a patient, presented with a urachal abscess after a spontaneously ruptured urachal cyst. © 2007 Am Soc Emergency Radiol.
引用
收藏
页码:333 / 335
页数:2
相关论文
共 11 条
[1]  
Yu J.S., Kim K.W., Lee H.J., Lee Y.J., Yoon C.S., Kim M.J., Urachal remnant diseases: Spectrum of CT and US findings, Radiographics, 21, pp. 451-461, (2001)
[2]  
Ohgaki M., Higuchi A., Chou H., Takashina K., Kawakami S., Fujita Y., Hagiwara A., Yamagishi H., Acute peritonitis caused by intraperitoneal rupture of an infected urachal cyst: Report of a case, Surg Today, 33, pp. 75-77, (2003)
[3]  
Spataro R.F., Davis R.S., McLachlan M.S., Linke C.A., Barbaric Z.L., Urachal abnormalities in the adult, Radiology, 149, pp. 659-663, (1983)
[4]  
Oyar O., Yesildag A., Gulsoy U.K., Perk H., The image of urachus adenocarcinoma on Doppler ultrasonography, Eur J Radiol, 44, pp. 48-51, (2002)
[5]  
Agatstein E.H., Stabile B.E., Peritonitis due to intraperitoneal perforation of infected urachal cysts, Arch Surg, 119, pp. 1269-1273, (1984)
[6]  
Lewis J.B., Morse J.W., Eyolfson M.F., Schwartz S.L., Spontaneous rupture of a vesicourachal diverticulum manifesting as acute abdominal pain, Acad Emerg Med, 3, pp. 1140-1143, (1996)
[7]  
Kojima Y., Miyake O., Taniwaki H., Morimoto A., Takahashi S., Fujiwara I., Infected urachal cyst ruptured during medical palliation, Int J Urol, 10, pp. 174-176, (2003)
[8]  
Campanale R.P., Krumbach R.W., Intraperitoneal perforation of infected urachal cyst, Am J Surg, 90, pp. 143-145, (1955)
[9]  
Mesrobian H.G., Zacharias A., Balcom A.H., Cohen R.D., Ten years of experience with isolated urachal anomalies in children, J Urol, 158, pp. 1316-1318, (1997)
[10]  
Ozden E., Gogus C., Filiz E., Infected urachal cyst, Tani Girisim Radyol, 9, pp. 395-397, (2003)