A rare cause of recurrent urinary system infections: urachus cyst

Abstract

<p>Urachal anomalies are rare congenital malformations of the genitourinary system. Infected urachus cysts may present with lower abdominal or suprapubic pain, fever, micturition difficulty and a suprapubic mass. Complications of the infected urachal cysts include drainage to vesicle or umblicus, peritonitis via drainage to peritoneum, extraperitoneal rupture, recurrent urinary tract infections, intestinal fistula formation, obstruction of ureter, and urachal adenocarcinoma in the late period. In this article, a 13-year-old female patient with fever, abdominal pain, and nausea is presented. The patient?s history revealed that, her complaints had appeared when she was 6 years-old. Appendectomy had been performed when she was 8 years-old due to similar complaints. After appendectomy, her complaints had reappeared 1 year later and had repeated every one or two months. She had been followed with the diagnosis of urinary tract infection in another healthcare institution and detailed examination and tests had not revealed any additonal pathology. The patient was admitted to our hospital with similar complaints. Computed tomography showed urachal cyst, and she underwent cyst excision. The postoperative period was uneventful. Urachal remnants should be taken into consideration as etiological factors in the differential diagnosis of recurrent urinary tract infections.</p>

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<p>Tekrarlayan ?riner sistem enfeksiyonlar?n?n nadir bir nedeni: urakus kisti</p>

<p>Urakal anomaliler genito?riner sistemin nadir do?u?tan lezyonlar?ndan biridir. nfekte urakus kistleri alt kar?n veya suprapubik a?r?, ate?, i?eme problemleri, suprapubik ele gelen kitle ?eklinde klinik bulgu verebilir. nfekte urakal kist komplikasyonlar? aras?nda; mesaneye veya umblikusa direnaj, peritona direnaj yoluyla peritonit geli?mesi, ekstraperitoneal r?pt?r, tekrarlay?c? idrar yolu enfeksiyonlar?, nadiren intestinal fist?l olu?umu, ?reter obstr?ksiyonu ve ge? d?nemde urakal adenokarsinoma say?labilir. Bu yaz?da hastanemize ate?, kar?n a?r?s? ve bulant? yak?nmas? ile ba?vuran 13 ya??nda bir k?z hasta sunuldu. Hastan?n ?zge?mi?inde ?ikayetlerinin 6 ya??nda ba?lad??? ve 8 ya??nda bu ?ikayetlerle ba?vurdu?u bir hastanede apendektomi yap?ld???, ancak 1 y?l sonra ?ikayetlerinin tekrar ba?lad??? ve 1-2 ay arayla yineledi?i ??renildi. Hasta ba?vurdu?u ba?ka bir hastanede tekrarlayan ?riner sistem enfeksiyonu tan?s? ile izlenmi? ve yap?lan ileri tetkiklerinde ek bir patoloji saptanmam??t?. Ayn? ?ikayetlerle klini?imize ba?vuran hastan?n bilgisayarl? kar?n tomografisinde urakal kist tespit edildi ve ameliyata al?nd?. Ameliyat sonras? izleminde sorun izlenmedi. Bu olgu nedeniyle, tekrarlay?c? idrar yolu enfeksiyonlar?n?n ay?r?c? tan?s?nda nadir g?r?len urakal kal?nt?lar?n da ak?lda tutulmas? gerekti?i vurguland?.</p>