Acute peritonitis caused by a ruptured urachal cyst accompanied by omphalitis in an adult: a case report and literature review

Omphalitis is an infection of the umbilicus that can cause inflammation to spread. Omphalitis is rare in adults; however, it can occasionally occur owing to urachal remnants. A 61-year-old male patient with abdominal pain and umbilical pus was admitted to the emergency room. Abdominal computed tomog...

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Main Authors: Myeong Gon Cho, Hyun-Young Han, Joo Heon Kim, Moon-Soo Lee
Format: Article
Language:English
Published: The Korean Society of Endo-Laparoscopic & Robotic Surgery 2024-09-01
Series:Journal of Minimally Invasive Surgery
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Online Access:http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2024.27.3.172
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author Myeong Gon Cho
Hyun-Young Han
Joo Heon Kim
Moon-Soo Lee
author_facet Myeong Gon Cho
Hyun-Young Han
Joo Heon Kim
Moon-Soo Lee
author_sort Myeong Gon Cho
collection DOAJ
description Omphalitis is an infection of the umbilicus that can cause inflammation to spread. Omphalitis is rare in adults; however, it can occasionally occur owing to urachal remnants. A 61-year-old male patient with abdominal pain and umbilical pus was admitted to the emergency room. Abdominal computed tomography revealed peritonitis with multiple intra-abdominal abscesses. The patient was diagnosed with peritonitis resulting from urachal cyst rupture. Laparoscopic drainage of the abscesses and excising of the umbilicus and intra-abdominal fistula tract were performed. Antibiotics were administered, and the patient was discharged uneventfully. The rarity of peritonitis caused by infection and urachal cyst rupture can make diagnosing omphalitis challenging. Therefore, in this case report and literature review, we discuss the diagnosis and treatment of complicated omphalitis, which rarely progresses to peritonitis owing to ruptured urachal cysts.
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publisher The Korean Society of Endo-Laparoscopic & Robotic Surgery
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spelling doaj-art-215fc5b52076464fa1f11a5dab789ff02025-08-20T03:01:06ZengThe Korean Society of Endo-Laparoscopic & Robotic SurgeryJournal of Minimally Invasive Surgery2234-778X2024-09-0127317217610.7602/jmis.2024.27.3.172jmis.2024.27.3.172Acute peritonitis caused by a ruptured urachal cyst accompanied by omphalitis in an adult: a case report and literature reviewMyeong Gon Cho0Hyun-Young Han1Joo Heon Kim2Moon-Soo Lee3Department of Surgery, Daejeon Eulji Medical Center, Eulji University, Daejeon, KoreaDepartment of Radiology, Daejeon Eulji Medical Center, Eulji University, Daejeon, KoreaDepartment of Pathology, Daejeon Eulji Medical Center, Eulji University, Daejeon, KoreaDepartment of Surgery, Daejeon Eulji Medical Center, Eulji University, Daejeon, KoreaOmphalitis is an infection of the umbilicus that can cause inflammation to spread. Omphalitis is rare in adults; however, it can occasionally occur owing to urachal remnants. A 61-year-old male patient with abdominal pain and umbilical pus was admitted to the emergency room. Abdominal computed tomography revealed peritonitis with multiple intra-abdominal abscesses. The patient was diagnosed with peritonitis resulting from urachal cyst rupture. Laparoscopic drainage of the abscesses and excising of the umbilicus and intra-abdominal fistula tract were performed. Antibiotics were administered, and the patient was discharged uneventfully. The rarity of peritonitis caused by infection and urachal cyst rupture can make diagnosing omphalitis challenging. Therefore, in this case report and literature review, we discuss the diagnosis and treatment of complicated omphalitis, which rarely progresses to peritonitis owing to ruptured urachal cysts.http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2024.27.3.172peritonitisruptureumbilicusurachal cyst
spellingShingle Myeong Gon Cho
Hyun-Young Han
Joo Heon Kim
Moon-Soo Lee
Acute peritonitis caused by a ruptured urachal cyst accompanied by omphalitis in an adult: a case report and literature review
Journal of Minimally Invasive Surgery
peritonitis
rupture
umbilicus
urachal cyst
title Acute peritonitis caused by a ruptured urachal cyst accompanied by omphalitis in an adult: a case report and literature review
title_full Acute peritonitis caused by a ruptured urachal cyst accompanied by omphalitis in an adult: a case report and literature review
title_fullStr Acute peritonitis caused by a ruptured urachal cyst accompanied by omphalitis in an adult: a case report and literature review
title_full_unstemmed Acute peritonitis caused by a ruptured urachal cyst accompanied by omphalitis in an adult: a case report and literature review
title_short Acute peritonitis caused by a ruptured urachal cyst accompanied by omphalitis in an adult: a case report and literature review
title_sort acute peritonitis caused by a ruptured urachal cyst accompanied by omphalitis in an adult a case report and literature review
topic peritonitis
rupture
umbilicus
urachal cyst
url http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2024.27.3.172
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AT hyunyounghan acuteperitonitiscausedbyarupturedurachalcystaccompaniedbyomphalitisinanadultacasereportandliteraturereview
AT jooheonkim acuteperitonitiscausedbyarupturedurachalcystaccompaniedbyomphalitisinanadultacasereportandliteraturereview
AT moonsoolee acuteperitonitiscausedbyarupturedurachalcystaccompaniedbyomphalitisinanadultacasereportandliteraturereview