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European Journal of Pediatrics
Published in: European Journal of Pediatrics 3/2012

01-03-2012 | Case Report

An infected urachal cyst—a rare diagnosis in a child with acute abdominal pain

Authors: Victoria A. Janes, Paul H. G. Hogeman, Niek B. Achten, Stefaan H. A. J. Tytgat

Published in: European Journal of Pediatrics | Issue 3/2012

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Abstract

A 2-year-old girl who presented with acute abdominal pain and spiking fever was diagnosed with an infected urachal cyst. Ultrasonography aided the diagnosis and the urachal remnant was removed successfully through a single laparoscopic procedure. Treatment is through removal of the complete structure, to prevent malignant degeneration in adulthood. Conclusion: Urachal cysts may cause abdominal complaints when infected. Although rare, they should be added to the differential diagnosis of acute abdominal pain in the paediatric patient, as this case illustrates.
Literature
1.
Allen JW, Song J, Velcek FT (2004) Acute presentation of infected urachal cysts: case report and review of diagnosis and therapeutic interventions. Pediatr Emerg Care 20(2):108–111PubMedCrossRef
2.
Cilento BG Jr, Bauer SB, Retik AB, Peters CA, Atala A (1998) Urachal anomalies: defining the best diagnostic modality. Urology 52(1):120–122PubMedCrossRef
3.
Turial S, Hueckstaedt T, Schier F, Fahlenkamp D (2007) Laparoscopic treatment of urachal remnants in children. J Urol 177(5):1864–1866PubMedCrossRef
Metadata
Title
An infected urachal cyst—a rare diagnosis in a child with acute abdominal pain
Authors
Victoria A. Janes
Paul H. G. Hogeman
Niek B. Achten
Stefaan H. A. J. Tytgat
Publication date
01-03-2012
Publisher
Springer-Verlag
Published in
European Journal of Pediatrics / Issue 3/2012
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-011-1622-3

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