PMC7421747_01
Contrast-enhanced computed tomographic image showing a cystic lesion with peripheral enhancement (arrow), thus excluding the initial diagnosis of an incarcerated hernia.
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Computed Tomography (CT) revealed a cystic lesion with peripheral enhancement arising from the bladder dome and extending to the umbilical region, leading to a suspected diagnosis of an infected urachal diverticulum (Figures 1 and 2).
Contrast-enhanced computed tomography (sagittal plane) showing the cystic lesion (arrow-above) arising from the bladder dome (arrow-below) and extending to the umbilical region, leading to a suspected diagnosis of an infected vesicourachal diverticulum.
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Computed Tomography (CT) revealed a cystic lesion with peripheral enhancement arising from the bladder dome and extending to the umbilical region, leading to a suspected diagnosis of an infected urachal diverticulum (Figures 1 and 2).
Cystography showing the bladder filled with contrast (arrow-below) without diffusion of the contrast inside the vesicourachal diverticulum (arrow-above), probably due to infection and a small opening of its lumen.
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A cystography was additionally performed which also revealed findings compatible with an infected urachal diverticulum (Figure 3).
Intraoperative image during the dissection of the urachal remnant (arrow).
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Three months later, the patient underwent a scheduled open surgical excision of the urachal remnant including a cuff of normal bladder, through an infraumbilical vertical midline incision (Figures 4-6).
Intraoperative image showing the vesicourachal diverticulum (arrow-above) arising from the anterosuperior margin of the bladder (arrow-below).
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Three months later, the patient underwent a scheduled open surgical excision of the urachal remnant including a cuff of normal bladder, through an infraumbilical vertical midline incision (Figures 4-6).
Surgical specimen of the resected vesicourachal diverticulum with a bladder cuff and the JJ stent in place (arrow).
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Three months later, the patient underwent a scheduled open surgical excision of the urachal remnant including a cuff of normal bladder, through an infraumbilical vertical midline incision (Figures 4-6).