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Year : 2005  |  Volume : 10  |  Issue : 2  |  Page : 72-74

Urachal cyst presenting as abdomino-Inguino-Scrotal tumour

1 Sub-Department of Paediatric Surgery, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria
2 Department of Radiation medicine, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria

Correspondence Address:
Christopher C Amah
Sub-Department of Paediatric Surgery, University of Nigeria Teaching Hospital, PMB 01129, Enugu
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Source of Support: None, Conflict of Interest: None

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Background: This report describes the unusual presentation and management of an urachal cyst in a 3 1/2 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.

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