| CASE REPORT |
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| Year : 2018 | Volume
: 10
| Issue : 2 | Page : 219-221 |
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Urachal cyst with xanthogranulomatous cystitis: A rare case report
Aakash Singh1, HL Kishan Prasad1, K Jayaprakash Shetty1, Nigi Ross Philip1, Ruhi Salma2, Anitha Chakravarthy2
1 Department of Pathology, K. S. Hegde Medical Academy, Mangalore, Karnataka, India
2 Post Graduates, K. S. Hegde Medical Academy, Mangalore, Karnataka, India
Correspondence Address:
Dr. H L Kishan Prasad
Department of Pathology, K. S. Hegde Medical Academy, Deralakatte, Mangalore, Karnataka
India
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DOI: 10.4103/0974-7796.229555 PMID: 29719338 
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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.
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