Urachal cyst with xanthogranulomatous cystitis: A rare case report

An urachal cyst is a sinus remaining from the allantois during embryogenesis which is rarely manifested in adults. The urachus is an embryologic remnant which degenerates after the birth. Defective obliteration of the urachus leads to urachal abnormalities. Urachal cyst is a rare pathology in adult...

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Bibliographic Details
Main Authors: Aakash Singh, H L Kishan Prasad, K Jayaprakash Shetty, Nigi Ross Philip, Ruhi Salma, Anitha Chakravarthy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Urology Annals
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Online Access:http://www.urologyannals.com/article.asp?issn=0974-7796;year=2018;volume=10;issue=2;spage=219;epage=221;aulast=Singh
Description
Summary:An urachal cyst is a sinus remaining from the allantois during embryogenesis which is rarely manifested in adults. The urachus is an embryologic remnant which degenerates after the birth. Defective obliteration of the urachus leads to urachal abnormalities. Urachal cyst is a rare pathology in adult women, and this pathology should be considered in the differential diagnosis of acute abdomen. Xanthogranulomatous cystitis (XC) is a benign disease of unknown etiology. The clinical manifestations of these are nonspecific such as lower abdominal pain, umbilical discharge with occasional hematuria. Urachal lesions present with persistent umbilical drainage in infants and newborn. However, in 35% cases, enclosed urachal cyst or infected urachal cyst (abscess) manifests without having umbilical discharge. Computed tomography scan and magnetic resonance imaging are of little help to the identification of these preoperatively. Here, we present a rare case of urachal cyst with XC in 30-year-old female which has produced diagnostic dilemma.
ISSN:0974-7796
0974-7834