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A Case of Infected Urachal Cyst Mimicking Acute Peritonitis

Journal of the Korean Pediatric Society 1996;39(10):1466-1468.
Published online October 15, 1996.
A Case of Infected Urachal Cyst Mimicking Acute Peritonitis
Myoung-Bum Choi, Yoon-Ok Kim, Ge-Woo Yi, Yun-Kyeong Cho, Jae-Young Lim, Hyang-Ok Woo, Hee-Shang Youn
Department of Pediatrics, Gyeongsang National University College of Medicine, Chinju, Korea
급성 복막염 증세로 발현한 Urachal Cyst1례
최명범, 김윤옥, 이계우, 조윤경, 임재영, 우향옥, 윤희상
경상대학교 의과대학 소아과학교실
Abstract
Infected urachal cyst is a rare disorder. While a urachal cyst is usually asymptomatic, the infected cyst may mimic a variety of acute intraabdominal infection. We have experienced a case of infected urachal cyst in a 3 year old boy complaining of high fever and diarrhea. During hospitalization, symptoms and sings of acute peritonitis dominated the clinical feature. Abdominal sonogram, abdominal computerized tomography and cavitogram demonstrated cystic mass posterior to central abdominal wall. Pus was drained from the cystic lesion by ultrasound-guided needle aspiration and indwelling catheter insertion. E.coli was cultured from pus. In the differential diagnosis of acute abdomen ultrasonographic examination of abdomen should be recruited to rule out the infected urachal cyst.
Key Words: Urachal cyst, Peritonitis, E.coli


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