Authors: G C Gregory R Vijay M Ligaj M H Shiwani
Publish Date: 2010/01/13
Volume: 15, Issue: 1, Pages: 93-95
Abstract
The urachal cyst is a rare clinical entity of a urachal remnant It is usually asymptomatic but can present with haematuria tumour urachal stone and infection We present a case of a 63yearold lady with a body mass index BMI of 49 who presented with a painful swelling in the umbilical region associated with an umbilical hernia An ultrasound and computed tomography CT scan showed a suspected herniation of an umbilical remnant cyst through a paraumbilical defect Laparoscopy confirmed the urachal cyst of 3 cm in size with a band connected with the cyst down to the urinary bladder associated with a 3cm paraumbilical hernia We removed the cyst and repaired the hernia laparoscopically uneventfully after which her recovery was perfect Radiological and laparoscopic pictures have not been reported in the English literature before Although this condition is very rare we suggest that it should be considered in the differential diagnosis of painful paraumbilical swelling CT scanning and laparoscopy seems to be valuable especially in obese patients
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