Infected urachal cyst secondary to a Crohn's enterourachal fistula

J Pediatr Surg. 2012 Dec;47(12):e43-6. doi: 10.1016/j.jpedsurg.2012.09.041.

Abstract

Enterourachal fistulas are exceedingly rare in Crohn's patients. We report a case of a presumed enterourachal fistula that led to an infected urachal cyst. Preoperative medical treatment obliterated the fistula and avoided the need to resect bowel at the time of operation. We recommend consideration of this diagnosis in a Crohn's patient with a midline abdominal mass.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Crohn Disease / complications*
  • Crohn Disease / diagnosis*
  • Crohn Disease / drug therapy
  • Endoscopy / methods
  • Follow-Up Studies
  • Humans
  • Ileal Diseases / complications
  • Ileal Diseases / diagnosis
  • Ileal Diseases / surgery
  • Ileocecal Valve / physiopathology
  • Intestinal Fistula / complications*
  • Intestinal Fistula / diagnosis*
  • Intestinal Fistula / surgery
  • Male
  • Rare Diseases
  • Risk Assessment
  • Severity of Illness Index
  • Treatment Outcome
  • Urachal Cyst / complications*
  • Urachal Cyst / diagnosis*
  • Urachal Cyst / surgery

Supplementary concepts

  • Benign non-infected urachal cyst