Korean J Gastroenterol.  2015 Oct;66(4):242-244. 10.4166/kjg.2015.66.4.242.

Urachal Sinus Presenting with Periumbilicus Abscess

• Han HJ
• Cho YA
• Park SJ

• KMID: 2373349
• DOI: http://doi.org/10.4166/kjg.2015.66.4.242

Abstract

No abstract available.

MeSH Terms

Abscess/*diagnosis
Fibrosis
Humans
Intestine, Small/pathology/surgery
Male
Peritonitis/diagnosis
Tomography, X-Ray Computed
Urachus/*abnormalities
Young Adult

Figure

• 

  Fig. 1. Abdominopelvic CT findings. A 4.5 cm-sized abscess is seen beneath the mid-abdominal wall (arrow). Multisegmental strictures and diffuse small bowel dilatation, suggestive of small bowel obstruction due to stricture is noted. Multifocal bowel wall thickening involving the cecum, ascending colon, and small bowel loops are also present. There is abscess formation from urachal remnant resulting in secondary peritonitis.

• 

  Fig. 2. Surgical specimens of laparoscopic segmental resection. Small bowel, showing fistula opening and erythematous mucosa (left) and omentum with abscess (right) are observed.

• 

  Fig. 3. Histologic findings (H&E stain, ×40). (A) Abscess formation is seen in the small bowel wall and mesenteric fat tissue. (B) Abscess formation and multifocal fibrosis can be seen in the omentum.

Reference

References

1. Yu JS, Kim KW, Lee HJ, Lee YJ, Yoon CS, Kim MJ. Urachal remnant diseases: spectrum of CT and US findings. Radiographics. 2001; 21:451–461.

2. Gearhart JP. Exstrophy, epispadias, and other bladder anomalies. Walsh PC, Retik AB, Vaughan ED, Wein AJ, Kavoussi LR, Novick AC, editors. Campbell's urology. 8th ed.Philadelphia: Saunders;2002. p. 2136–2196.

3. Berman SM, Tolia BM, Laor E, Reid RE, Schweizerhof SP, Freed SZ. Urachal remnants in adults. Urology. 1988; 31:17–21.

4. Iuchtman M, Rahav S, Zer M, Mogilner J, Siplovich L. Management of urachal anomalies in children and adults. Urology. 1993; 42:426–430.

5. Mesrobian HG, Zacharias A, Balcom AH, Cohen RD. Ten years of experience with isolated urachal anomalies in children. J Urol. 1997; 158:1316–1318.

6. Ashley RA, Inman BA, Routh JC, Rohlinger AL, Husmann DA, Kramer SA. Urachal anomalies: a longitudinal study of urachal remnants in children and adults. J Urol. 2007; 178:1615–1618.

7. Ueno T, Hashimoto H, Yokoyama H, Ito M, Kouda K, Kanamaru H. Urachal anomalies: ultrasonography and management. J Pediatr Surg. 2003; 38:1203–1207.