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Acute peritonitis caused by a ruptured urachal cyst accompanied by omphalitis in an adult: a case report and literature review

Year: 2024

Type: article

Abstract: Omphalitis is an infection of the umbilicus that can cause inflammation to spread. Omphalitis is rare in adults; however, it can occasionally occur owing to urachal remnants. A 61-year-old male patient with abdominal pain and umbilical pus was admitted to the emergency room. Abdominal computed tomography revealed peritonitis with multiple intra-abdominal abscesses. The patient was diagnosed with peritonitis resulting from urachal cyst rupture. Laparoscopic drainage of the abscesses and excising of the umbilicus and intra-abdominal fistula tract were performed. Antibiotics were administered, and the patient was discharged uneventfully. The rarity of peritonitis caused by infection and urachal cyst rupture can make diagnosing omphalitis challenging. Therefore, in this case report and literature review, we discuss the diagnosis and treatment of complicated omphalitis, which rarely progresses to peritonitis owing to ruptured urachal cysts.

Source: Daehan nae'si'gyeong bog'gang'gyeong oe'gwa haghoeji/Journal of minimally invasive surgery

DOI: 10.7602/jmis.2024.27.3.172

Authors: Myeong Gon Cho, Hyun-Young Han, Joo Heon Kim, Moon-Soo Lee

Institutions: Eulji University, Daejeon Eulji Medical Center, Eulji University

Language: English

Topic: Congenital Anomalies and Fetal Surgery

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4402693871

FWCI: 0.38

Cites: 10

Cited by: 1

Related to: 10