PMC6453943_01
Axial CT abdomen showing urachal remnant extending through the ventral abdominal wall with associated inflammatory infiltrate and central lucency suggestive of abscess.
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CT abdomen/pelvis revealed a four-centimeter segment of organized periumbilical inflammation with central lucency passing the ventral abdominal wall into the anterior abdominal compartment (Fig. 1).
A. Intraoperative urachal cyst excision via median mini-laparotomy. B. Intraoperative expression of sebaceous material from infected urachal cyst.
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The urachal cyst and remnants were dissected inferiorly to confirm no communication with the urinary bladder before total excision (Fig. 2A). Investigation of the cyst contents revealed white sebaceous material (Fig. 2B).
Excised urachal cyst specimen.
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Pathology examined the 4 x 3 x 0.7-centimeter segment of fibromembranous tissue and confirmed intraoperative impressions of the specimen (Fig. 3).