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Year 2013, Volume: 35 Issue: 2, 278 - 281, 27.06.2013

Abstract

The biggest part of primitive urogenital sinus is bladder. In the beginning, bladder was linked with allantois. Urachus was obliterated allantoic remnant which connects to the dome of bladder. This structure is called median umbilical ligament in adults. Intraembryonic non oblitarated lumen of the allantoic remnant can results in different clinical situations: urachal fistula, urachal cyst, sinus and urachal diverticul. Sometimes directly itself and sometimes its complications may cause clinical differences. This paper is about 9-year-old male patient who operated with a presumptive diagnosis of acute appendicitis. The diagnosis noticed as infected urachal cyst rupture during surgery. Urachal remnants should be considered in differential diagnosis of acute abdomen.

References

  • Sadler TW. (Ed) Williams&Williams Langman's medikal embriyoloji Başaklar C. (Çev. Ed) Palme Yayıncılık 6.Basım 1993 Ekim 1990; s: 255-6.
  • Yoo KH, Lee SJ, Chang SG. Treatment of infected urachal cysts. Yonsei Med J 2006; 47: 423-7.
  • Kandış H, Katırcı Y, Çakır Z, Barazı AM, Durusu M, Tetik A. Enfekte Urakus Kisti Olgu Sunumu. Akademik Acil Tıp Olgu Sunumları Dergisi 2011; 1: 24-6. Numanoğlu V, Söğüt A. Tekrarlayan üriner sistem enfeksiyonlarının nadir bir nedeni: urakus kisti. Türk Pediatri Arşivi 2004; 39: 181-4.
  • Suita S, Nagasaki A. Urachal Remnants. Seminars in Pediatric Surgery 1996; 5: 107Iuchtman M, Rahav S, Zer M, Mogilner J, Siplovich L. Management of Urachal Anomalies in children and adults. Urology 1993; 42: 426-30.
  • Blichert-Toft M, Nielsen OV. Diseases of the urachus simulating intra-abdominal disorders. Am J Surg 1971; 122: 123-8.
  • Chen TF, Collier DS. Intraperitoneal rupture of an infected urachus. Br J Urol 1994; 74: 134-5.
  • Sarihan H. Ureteric obstruction due to an infected urachal cyst. Br J Urol 1995; 76: 266-7.
  • Rubin JP, Kasznica JM, Davis CA 3rd, Carpinito GA, Hirsch EF. Transitional cell carcinoma in a urachal cyst. Urol 1999; 162: 1687-8.
  • Ekwueme KC, Parr NJ. Infected urachal cyst in an adult: a case report and review of the literature. Cases J 2009; 2: 6422.

Ender bir akut batın nedeni: Enfekte urakal kist rüptürü

Year 2013, Volume: 35 Issue: 2, 278 - 281, 27.06.2013

Abstract

Özet

Primitif ürogenital sinusün en büyük parçası mesanedir. Mesane başlangıçta allantoisle bağlantılıdır. Allantoisin oblitere olmasıyla geride mesanenin tavanını göbeğe bağlayan urakus adı verilen bir kordon kalır. Erişkinde bu yapı median umbilikal ligaman ismini alır. Allantoisin intraembriyonik bölümü lümeninin oblitere olmaması patent urakusla ilgili değişik klinik durumlara yol açabilir. Bunlar; urakal fistül, urakal kist, urakal sinus ve urakal divertiküldür. Bazen direkt urakal kalıntının kendisi bazen de beraberinde ortaya çıkabilen komplikasyonlar kliniği ortaya koyar. Yazı akut apandisit ön tanısıyla ameliyata alınan 9 yaşında erkek hasta hakkındadır. Tanının enfekte urakal kist rüptürü olduğu operasyon sırasında anlaşılmıştır. Urakal artıklar akut batın ayırıcı tanısında akılda bulundurulmalıdır.

Anahtar sözcükler: Urakal artıklar, urakal kist rüptürü, akut batın

 

Abstract

The biggest part of primitive urogenital sinus is bladder. In the beginning, bladder was linked with allantois. Urachus was obliterated allantoic remnant which connects to the dome of bladder. This structure is called median umbilical ligament in adults. Intraembryonic non oblitarated lumen of the allantoic remnant can results in different clinical situations: urachal fistula, urachal cyst, sinus and urachal diverticul. Sometimes directly itself and sometimes its complications may cause clinical differences. This paper is about 9-year-old male patient who operated with a presumptive diagnosis of acute appendicitis. The diagnosis noticed as infected urachal cyst rupture during surgery. Urachal remnants should be considered in differential diagnosis of acute abdomen.

Keywords: Urachal remnants, urachal cyst rupture, acute abdomen

References

  • Sadler TW. (Ed) Williams&Williams Langman's medikal embriyoloji Başaklar C. (Çev. Ed) Palme Yayıncılık 6.Basım 1993 Ekim 1990; s: 255-6.
  • Yoo KH, Lee SJ, Chang SG. Treatment of infected urachal cysts. Yonsei Med J 2006; 47: 423-7.
  • Kandış H, Katırcı Y, Çakır Z, Barazı AM, Durusu M, Tetik A. Enfekte Urakus Kisti Olgu Sunumu. Akademik Acil Tıp Olgu Sunumları Dergisi 2011; 1: 24-6. Numanoğlu V, Söğüt A. Tekrarlayan üriner sistem enfeksiyonlarının nadir bir nedeni: urakus kisti. Türk Pediatri Arşivi 2004; 39: 181-4.
  • Suita S, Nagasaki A. Urachal Remnants. Seminars in Pediatric Surgery 1996; 5: 107Iuchtman M, Rahav S, Zer M, Mogilner J, Siplovich L. Management of Urachal Anomalies in children and adults. Urology 1993; 42: 426-30.
  • Blichert-Toft M, Nielsen OV. Diseases of the urachus simulating intra-abdominal disorders. Am J Surg 1971; 122: 123-8.
  • Chen TF, Collier DS. Intraperitoneal rupture of an infected urachus. Br J Urol 1994; 74: 134-5.
  • Sarihan H. Ureteric obstruction due to an infected urachal cyst. Br J Urol 1995; 76: 266-7.
  • Rubin JP, Kasznica JM, Davis CA 3rd, Carpinito GA, Hirsch EF. Transitional cell carcinoma in a urachal cyst. Urol 1999; 162: 1687-8.
  • Ekwueme KC, Parr NJ. Infected urachal cyst in an adult: a case report and review of the literature. Cases J 2009; 2: 6422.
There are 9 citations in total.

Details

Primary Language Turkish
Journal Section Case Reports
Authors

Çağatay Aydıner

Esra Özçakır

Publication Date June 27, 2013
Published in Issue Year 2013Volume: 35 Issue: 2

Cite

AMA Aydıner Ç, Özçakır E. Ender bir akut batın nedeni: Enfekte urakal kist rüptürü. CMJ. June 2013;35(2):278-281.