A urachal remnant may become infected.
Clinical and laboratory features:
(1) abdominal pain and tenderness
(2) fever
(3) leukocytosis
(4) variable mass at the umbilicus
(5) variable lower urinary tract symptoms
Imaging studies show a cystic lesion between the urinary bladder and umbilicus with variable fat stranding.
Complications:
(1) rupture with peritonitis
(2) small bowel obstruction
Differential diagnosis:
(1) urachal carcinoma
(2) umbilical hernia
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Specialty: Infectious Diseases