Management of infected Urachal Cyst and the pattern of drug resistance in the isolate

Abstract

Author(s): Priti Singh, Salman Khan* and Shakeel Ahmed

It is defective obliteration of the urachus that causes urachal cysts. Failure of urachus to involute can contribute to anomalies that may increase the risk of infection and/or malignancy if left untreated.

A 29-year-old female with clinical features suggestive of acute abdominal pain is presented in this case report. Complete blood counts, serum electrolytes, urinalysis, renal function tests were normal. In the suprapubic region, an ultrasonographic examination revealed a hypoechoic lesion measuring 2 cm × 1.5 cm in size and contrast-enhanced CT scan confirmed a non-communicating urachal cyst between abdominal wall and urinary bladder's anterior wall.

Urine culture revealed significant growth of Escherichia coli and was susceptible to eight out of fifteen antibiotics. The patient was successfully treated with parenteral amikacin.

In clinical office, urachal cysts need to be diagnosed and managed promptly with a high degree of suspicion. Radiology, urine culture & sensitivity are effective strategies to curb the acute presentation of Urachal Cyst.

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