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KMID : 1234520070020020238
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Korean Journal of Urogenital Tract Infection Inflammation
2007 Volume.2 No. 2 p.238 ~ p.241
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Urachal Abscess Caused by a Swallowed Fish Bone
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Sohng In-Ho
Lee Gil-Ho
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Abstract
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A 64-year-old man visited our hospital with a 2 weeks history of lower abdominal pain and palpable mass. Physical examination revealed a tender mass in the suprapubic area. Abdominal ultrasonography and abdominal computerized tomography of the patient showed a cystic mass and adhesion of the bowel with a foreign body which fortunately found out to be a fish bone. An urachal abscess was suspected, and we first drained the cystic mass and debrided the necrotic tissues. We then performed a complete resection of the urachal remnant, a fistulectomy, a partial resection of adhesive ileum and a partial resection of the bladder. Urachal abscess by a swallowed fish bone is rare, and it was only reported in Japan. A preoperative diagnosis with ultrasonography or CT scan may be helpful to evaluate patients and make a
treatment plan.
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KEYWORD
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Urachus, Abscess
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