title: Acute presentation of infected urachal cysts: case report and review of diagnosis and therapeutic interventions.
abstract: Urachal remnants, although relatively rare, masquerade as a large number of diverse disorders leading to a high rate of misdiagnosis. A typical case is reported in which a 10-year-old boy presented to the Emergency Department twice before being incorrectly diagnosed with a pelvic or lower abdominal periappendiceal abscess. Definitive diagnosis and treatment of an infected urachal cyst were made intraoperatively. A review and discussion of urachal remnants is presented, and a diagnostic algorithm and treatment plan is offered for this entity.
authors.affiliation: *Departments of Radiology and Neurology, New York University, New York, NY; †New York University School of Medicine, New York, NY; ‡Department of Surgery, Lenox Hill Hospital, New York, NY.
authors.forename: Jason W
authors.initials: JW
authors.lastname: Allen
authors.forename: Jean
authors.initials: J
authors.lastname: Song
authors.forename: Francisca T
authors.initials: FT
authors.lastname: Velcek
mesh_terms: D018784:Abdominal Abscess / Q000000981:diagnostic imaging; D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001064:Appendicitis / Q000000981:diagnostic imaging; D002648:Child; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004927:Escherichia coli Infections / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis / Q000188:drug therapy; D007711:Klebsiella pneumoniae; D008297:Male; D014057:Tomography, X-Ray Computed; D014496:Urachal Cyst / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents