Laparoscopic Umbilicus-Sparing Excision of Symptomatic Patent Urachus in Adulthood: Case Report and a Review of the Literature

Urachal abnormalities are infrequent pathologies characterized by the failure of obliteration of the urachal canal, resulting in a persistent fibrous cord. The initial diagnosis approach can be done with ultrasonography; however, computed tomography is considered a standard diagnostic method. The pr...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-07, Vol.16 (7), p.e64471
Main Authors: Varela Barraza, Omar, Dávila Legorreta, Ernesto, Huerta Hernandez, Lucero, Esqueda-Mendoza, Antonio, Maldonado Barrios, Irma L, Gutiérrez Neri Pérez, Mariana, Gutiérrez Brambila, Martha E
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Adults
Antibiotics
Asymptomatic
Biopsy
Bladder
Case reports
Cysts
Fistula
General Surgery
Hematuria
Histopathology
Laparoscopy
Medical imaging
Morphology
Patients
Peritonitis
Sepsis
Therapeutics
Tomography
Tumors
Ultrasonic imaging
Urinary tract diseases
Urinary tract infections
Urogenital system
Urology
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Description
Summary:Urachal abnormalities are infrequent pathologies characterized by the failure of obliteration of the urachal canal, resulting in a persistent fibrous cord. The initial diagnosis approach can be done with ultrasonography; however, computed tomography is considered a standard diagnostic method. The preferred method for relieving symptoms and reducing recurrence is surgical excision. This is a case of a 45-year-old man with recurrent urinary tract infections, suprapubic pain, and umbilical fetid discharge who underwent laparoscopic umbilicus-sparing excision.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.64471