Successful Laparoscopic Treatment of Infected Urachal Sinus in Adults: A Case Report

Infected Urachal Sinus in an Adult

Authors

  • Suphawat Laohawiriyakamol Department of Surgery, Faculty of Medicine, Prince of Songkla University
  • Virote Chalieopanyarwong Department of Surgery, Faculty of Medicine, Prince of Songkla University
  • Piyanun Wangkulangkul Department of Surgery, Faculty of Medicine, Prince of Songkla University
  • Kittipong Riabroi Department of Radiology, Faculty of Medicine, Prince of Songkla University
  • Paramee Thongsuksai Department of Pathology, Faculty of Medicine, Prince of Songkla University

DOI:

https://doi.org/10.31584/psumj.2021247087

Keywords:

infected urachal sinus, laparoscopic treatment, urachus, urachal remnant

Abstract

Urachal sinus is a rare congenital anomaly. It is one type of the urachal abnormalities that results from incomplete regression of the fetal urachus. We report a case of urachal sinus in a 54-year-old male that presented with purulent discharge from the umbilicus. The treatment aims were the clearance of infection and complete removal of urachal remnants, which can transition to malignancy. A successful, two-stage procedure consisting of drainage with antibiotics, followed by laparoscopic surgery is described in our report.

Downloads

Download data is not yet available.

References

Hammond G, Yglesias L, Davis JE. The urachus, its anatomy and associated fascia. Anat Rec 1941;80:271-4.

Choi YJ, Kim JM, Ahn SY, Oh JT, Han SW, Lee JS. Urachal abnormalities in children: a single center experience. Yonsei Med J 2006;47:783-6.

Shadwa HD, June K, Richard S, Hadassa L, Horowitz M. To excise or not to excise infected urachal cysts: A case report and review of the literature. J Pediatr Surg 2017;35-8.

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;178:1615-8.

Kewal AM, Garvit DK, Dinesh S. Late presentation of congenital urachal sinus in a middle aged male complicated by an umbilical abscess: A case report. Egypt J Radiol Nucl Med 2015;46,755-9.

Ammari JE, Ahallal Y, Adli O, Fassi MJ, Farih H. Urachal Sinus Presenting with Abscess Formation. ISRN Urology 2011;1-3.

Mccollum M, Mac NA, Blair G. Surgical implications of urachal remnants: presentation and management. J Pediatr Surg 2003;38:798-803.

Mesrobian HG, Zacharias A, Balcom AH, Cohen RD. Ten years of experience with isolated urachal anomalies in children. J Urol 1997;158:1316-8.

Laiwattanapaisal S. Laparoscopic Excision of an Infected Urachal Cyst in an Adult. Thai J Surg 2011;32,141-4.

Hashizume N, Ohtaki M, Nihei K, Sakamoto K, Shirahata Y, Shimada T, et al. Laparoscopic surgery for urachal remnants in pubescent children: a case series. Surgical Case Reports 2020;6:120.

Downloads

Published

2021-07-01

How to Cite

1.
Laohawiriyakamol S, Chalieopanyarwong V, Wangkulangkul P, Riabroi K, Thongsuksai P. Successful Laparoscopic Treatment of Infected Urachal Sinus in Adults: A Case Report: Infected Urachal Sinus in an Adult. PSU Med J [Internet]. 2021 Jul. 1 [cited 2022 Nov. 28];1(2):63-8. Available from: https://he01.tci-thaijo.org/index.php/PSUMJ/article/view/247087

Issue

Section

Short Reports