Open AccessUrachal cyst with xanthogranulomatous cystitis: A rare case report
Author(s) -
Aakash Singh,
Hari Prasad,
K Jayaprakash Shetty,
Nigi Ross Philip,
Ruhi Salma,
Anitha Chakravarthy
Publication year - 2018
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/0974-7796.229555
Subject(s) - urachus , medicine , allantois , differential diagnosis , cyst , abdomen , rare disease , abdominal pain , magnetic resonance imaging , ovarian cyst , acute abdomen , radiology , pathology , surgery , disease , embryo , biology , microbiology and biotechnology
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.