Urachal Sinus Presenting with Periumbilicus Abscess

Hyun Jeong Han; Yoon Ah Cho; Soo Jung Park

doi:10.4166/kjg.2015.66.4.242

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Han, Cho, and Park: Urachal Sinus Presenting with Periumbilicus Abscess

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Korean J Gastroenterol 2015;66(4):242-244.

Published online: 4 October 2015

DOI: https://doi.org/10.4166/kjg.2015.66.4.242

Urachal Sinus Presenting with Periumbilicus Abscess

Hyun Jeong Han, Yoon Ah Cho¹, Soo Jung Park

Department of Internal Medicine and Institute of Gastroenterology, Seoul, Korea

¹Department of Pathology, Yonsei University College of Medicine, Seoul, Korea

Correspondence to: Soo Jung Park, Department of Internal Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea. Tel: +82-2-2228-1963, Fax: +82-2-365-2125, E-mail: sjpark@yuhs.ac

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

References

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2. Gearhart JP. Exstrophy, epispadias, and other bladder anomalies. Walsh PC, Retik AB, Vaughan ED, Wein AJ, Kavoussi LR, Novick AC, editors. Campbell's urology. 8th ed.Philadelphia: Saunders;2002. p. 2136–2196.

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7. Ueno T, Hashimoto H, Yokoyama H, Ito M, Kouda K, Kanamaru H. Urachal anomalies: ultrasonography and management. J Pediatr Surg. 2003; 38:1203–1207.

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Fig. 1.

Abdominopelvic CT findings. A 4.5 cm-sized abscess is seen beneath the mid-abdominal wall (arrow). Multisegmental strictures and diffuse small bowel dilatation, suggestive of small bowel obstruction due to stricture is noted. Multifocal bowel wall thickening involving the cecum, ascending colon, and small bowel loops are also present. There is abscess formation from urachal remnant resulting in secondary peritonitis.

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Fig. 2.

Surgical specimens of laparoscopic segmental resection. Small bowel, showing fistula opening and erythematous mucosa (left) and omentum with abscess (right) are observed.

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Fig. 3.

Histologic findings (H&E stain, ×40). (A) Abscess formation is seen in the small bowel wall and mesenteric fat tissue. (B) Abscess formation and multifocal fibrosis can be seen in the omentum.

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