Medical science monitor : international medical journal of experimental and clinical research · 2006
Urachal fistula presenting as umbilical sepsis: a rare case in an adult male.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Hurreiz Hisham, Hussain Irshad, Hamo Ishrak
Аннотация
BACKGROUND: Urachal anomalies are rare normally presenting during childhood. They are difficult to diagnose and surgical treatment is always needed to prevent recurrence.
CASE REPORT: A 28 year old male presented with a red tender umbilical swelling that was confused with an umbilical hernia. The correct diagnosis of a urachal fistula was reached after performing a CT scan. The patient was initially treated with oral antibiotics and complete surgical excision of the fistulous tract was carried out at a later stage after controlling the infection.
CONCLUSIONS: Staged resection is the treatment of choice in urachal anomalies associated with sepsis. Surgical excision of the urachal remnant is necessary to prevent recurrence.
CASE REPORT: A 28 year old male presented with a red tender umbilical swelling that was confused with an umbilical hernia. The correct diagnosis of a urachal fistula was reached after performing a CT scan. The patient was initially treated with oral antibiotics and complete surgical excision of the fistulous tract was carried out at a later stage after controlling the infection.
CONCLUSIONS: Staged resection is the treatment of choice in urachal anomalies associated with sepsis. Surgical excision of the urachal remnant is necessary to prevent recurrence.