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.
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 abdomenPrimary Language | Turkish |
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Journal Section | Case Reports |
Authors | |
Publication Date | June 27, 2013 |
Published in Issue | Year 2013Volume: 35 Issue: 2 |