TY - JOUR
T1 - Infected Urachal Remnants in the Adult
T2 - Case Report and Review
AU - Ward, Thomas T.
AU - Saltzman, Edward
AU - Chiang, Seine
N1 - Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 1993/1/1
Y1 - 1993/1/1
N2 - Abnormalities of the urachus in adults are uncommon. Urachal tract remnants that abnormally remain patent are subject to infection. Urachal infection is frequently confused with a wide spectrum of midline intraabdominal or pelvic inflammatory disorders. Because the literature on urachal infection is primarily limited to articles in urology and surgical specialty journals, many physicians may not be familiar with the varied clinical manifestations. We describe a case of infection of a patent urachus in an adult and review the embryology and anatomy of the urachus as it relates to clinical presentation, evaluation, and management. Infection of a urachal remnant should be included in the broad differential diagnosis of omphalitis and midline abdominal or pelvic infections. Rarely, it may be a cause of recurrent urinary tract infection. Definitive management consists of surgical excision after the institution of antimicrobial therapy.
AB - Abnormalities of the urachus in adults are uncommon. Urachal tract remnants that abnormally remain patent are subject to infection. Urachal infection is frequently confused with a wide spectrum of midline intraabdominal or pelvic inflammatory disorders. Because the literature on urachal infection is primarily limited to articles in urology and surgical specialty journals, many physicians may not be familiar with the varied clinical manifestations. We describe a case of infection of a patent urachus in an adult and review the embryology and anatomy of the urachus as it relates to clinical presentation, evaluation, and management. Infection of a urachal remnant should be included in the broad differential diagnosis of omphalitis and midline abdominal or pelvic infections. Rarely, it may be a cause of recurrent urinary tract infection. Definitive management consists of surgical excision after the institution of antimicrobial therapy.
UR - http://www.scopus.com/inward/record.url?scp=0027514598&partnerID=8YFLogxK
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U2 - 10.1093/clinids/16.1.26
DO - 10.1093/clinids/16.1.26
M3 - Article
C2 - 8448315
AN - SCOPUS:0027514598
SN - 1058-4838
VL - 16
SP - 26
EP - 29
JO - Clinical Infectious Diseases
JF - Clinical Infectious Diseases
IS - 1
ER -