Urachal abscess in a child with single kidney and multiple anomalous vertebrae—a case report and literature review

Abstract Background Urachal anomalies (UAs) are rare in children; the most encountered are urachal cysts, urachal sinus, and urachal diverticulum. Other associated anomalies have been reported to include renal and abdominal wall defects. No skeletal anomalies have been reported to date. Case present...

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Príomhchruthaitheoirí: Mohamad K. Abou Chaar, Tamador Al-Shamaileh, Mohammad M. Saleem
Formáid: Alt
Teanga:English
Foilsithe / Cruthaithe: SpringerOpen 2020-06-01
Sraith:Annals of Pediatric Surgery
Ábhair:
Rochtain ar líne:http://link.springer.com/article/10.1186/s43159-020-00028-w
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author Mohamad K. Abou Chaar
Tamador Al-Shamaileh
Mohammad M. Saleem
author_facet Mohamad K. Abou Chaar
Tamador Al-Shamaileh
Mohammad M. Saleem
author_sort Mohamad K. Abou Chaar
collection DOAJ
description Abstract Background Urachal anomalies (UAs) are rare in children; the most encountered are urachal cysts, urachal sinus, and urachal diverticulum. Other associated anomalies have been reported to include renal and abdominal wall defects. No skeletal anomalies have been reported to date. Case presentation We present a case of a 20-month-old female patient, who presented to our emergency department with a fever of 2 weeks duration associated with colicky abdominal pain, a tender abdomen, and an infraumbilical mass. The suspicion of urachal sinus abscess was confirmed by ultrasound. The patient was also found to have a single left kidney and multiple vertebral segmental anomalies on a full-body computed tomography scan. The patient underwent open surgical excision of the urachal abscess without complications on follow-up. Conclusion Urachal abscess is rare in children. Associated anomalies include renal and abdominal wall defects. To our knowledge and based on our meticulous search through the literature, this is the first case to report a combination of renal and skeletal findings in a child. Whenever a urachal remnant is found in a patient, a radiological investigation should be made to rule out associated anomalies.
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spelling doaj.art-4d898d194b6b4efebe8aeeec45e2554c2022-12-21T23:57:14ZengSpringerOpenAnnals of Pediatric Surgery2090-53942020-06-011611410.1186/s43159-020-00028-wUrachal abscess in a child with single kidney and multiple anomalous vertebrae—a case report and literature reviewMohamad K. Abou Chaar0Tamador Al-Shamaileh1Mohammad M. Saleem2Department of Surgery, King Hussein Cancer CenterDepartment of Pediatric Surgery, Jordan University HospitalDepartment of Pediatric Surgery, Jordan University HospitalAbstract Background Urachal anomalies (UAs) are rare in children; the most encountered are urachal cysts, urachal sinus, and urachal diverticulum. Other associated anomalies have been reported to include renal and abdominal wall defects. No skeletal anomalies have been reported to date. Case presentation We present a case of a 20-month-old female patient, who presented to our emergency department with a fever of 2 weeks duration associated with colicky abdominal pain, a tender abdomen, and an infraumbilical mass. The suspicion of urachal sinus abscess was confirmed by ultrasound. The patient was also found to have a single left kidney and multiple vertebral segmental anomalies on a full-body computed tomography scan. The patient underwent open surgical excision of the urachal abscess without complications on follow-up. Conclusion Urachal abscess is rare in children. Associated anomalies include renal and abdominal wall defects. To our knowledge and based on our meticulous search through the literature, this is the first case to report a combination of renal and skeletal findings in a child. Whenever a urachal remnant is found in a patient, a radiological investigation should be made to rule out associated anomalies.http://link.springer.com/article/10.1186/s43159-020-00028-wUrachusUrachal abscessSingle kidneyVertebral anomaly
spellingShingle Mohamad K. Abou Chaar
Tamador Al-Shamaileh
Mohammad M. Saleem
Urachal abscess in a child with single kidney and multiple anomalous vertebrae—a case report and literature review
Annals of Pediatric Surgery
Urachus
Urachal abscess
Single kidney
Vertebral anomaly
title Urachal abscess in a child with single kidney and multiple anomalous vertebrae—a case report and literature review
title_full Urachal abscess in a child with single kidney and multiple anomalous vertebrae—a case report and literature review
title_fullStr Urachal abscess in a child with single kidney and multiple anomalous vertebrae—a case report and literature review
title_full_unstemmed Urachal abscess in a child with single kidney and multiple anomalous vertebrae—a case report and literature review
title_short Urachal abscess in a child with single kidney and multiple anomalous vertebrae—a case report and literature review
title_sort urachal abscess in a child with single kidney and multiple anomalous vertebrae a case report and literature review
topic Urachus
Urachal abscess
Single kidney
Vertebral anomaly
url http://link.springer.com/article/10.1186/s43159-020-00028-w
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AT tamadoralshamaileh urachalabscessinachildwithsinglekidneyandmultipleanomalousvertebraeacasereportandliteraturereview
AT mohammadmsaleem urachalabscessinachildwithsinglekidneyandmultipleanomalousvertebraeacasereportandliteraturereview