Year: 2025
Type: article
Study design: Case Report
Abstract: 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.
Source: Journal of Surgical Case Reports
DOI: 10.1093/jscr/rjaf359
Authors: Mohsin Yahya Murshid, Mohammed Ghandourah, Abdulmalik AlShamrani, Saeed Ahmed AlZahrani
Institution: Hera General Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,000
OpenAlex ID: W4410907180