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Journal of Radiological Review 2020 March-April;7(2):153-6

DOI: 10.23736/S2723-9284.20.00004-2

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English, Italian

Urgent approach in a mass-like urachal abscess

Donatella VIVACQUA 1, Giulia LASSANDRO 2, Stefano G. PICCHI 2 , Laura GRECO 1, Filomena CARFAGNINI 1, Michelangelo BALDAZZI 1, Francesco MONTEDURO 3

1 Unit of Pediatric Radiology, Ospedale Sant’Orsola-Malpighi, University of Bologna, Bologna, Italy; 2 Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy; 3 Department of Radiology, Ospedale Sant’Orsola-Malpighi, University of Bologna, Bologna, Italy


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The urachus is an embryologic remnant that connects the urinary bladder to the allantois in early embryonic development. It normally obliterates during late fetal life, forming a vestigial structure called the median umbilical ligament. The missed or delayed urachal obliteration can lead in four embryologic malformations: patent urachus, urachal sinus, vesicourachal diverticulum or urachal cyst. In case of severe infection, urachal cysts may result in urachal abscesses. Herein we present a case of a mass-like urachal abscess in a 6-months-old female infant surgically removed in emergency conditions.


KEY WORDS: Humans; Infant; Acute disease; Urachus

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