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Urachal cyst presenting as abdomino-inguino-scrotal tumour
Abstract
Background: This report describes the unusual presentation and management of an urachal cyst in a 3½ year old Nigerian male child. Before being referred, he had been managed as a bladder rhabdomyosarcoma, and given two courses of cytotoxic therapy.
Methodology: Pre-operative diagnosis was inconclusive, including the use of Ultrasonography and micturating cysto-urethrogram (MCUG). Abdomino-inguino-scrotal exploration revealed a pre-peritoneal multi-septate cyst spanning from the umbilicus to the dome of the urinary bladder. In addition there was herniation of this cyst into the right inguino-scrotal space. The cyst yielded 1.7litres of straw coloured fluid.
Results: Drainage of the cyst with total excision of the sac in continuity resulted in cure. The patient has remained symptom free at 2years of follow up.
Conclusion: This rare presentation of a benign condition stands to caution all practitioners against the irrational use of cytotoxic therapy.
Keywords: urachal cyst, abdomino-inguino-scrotal
Journal of College of Medicine Vol. 10(2) 2005: 72-74
Methodology: Pre-operative diagnosis was inconclusive, including the use of Ultrasonography and micturating cysto-urethrogram (MCUG). Abdomino-inguino-scrotal exploration revealed a pre-peritoneal multi-septate cyst spanning from the umbilicus to the dome of the urinary bladder. In addition there was herniation of this cyst into the right inguino-scrotal space. The cyst yielded 1.7litres of straw coloured fluid.
Results: Drainage of the cyst with total excision of the sac in continuity resulted in cure. The patient has remained symptom free at 2years of follow up.
Conclusion: This rare presentation of a benign condition stands to caution all practitioners against the irrational use of cytotoxic therapy.
Keywords: urachal cyst, abdomino-inguino-scrotal
Journal of College of Medicine Vol. 10(2) 2005: 72-74
