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Case Reports
. 2017 Oct 18;1(4):374-376.
doi: 10.5811/cpcem.2017.9.34905. eCollection 2017 Nov.

Urachal Cyst Diagnosed by Point-of-care Ultrasound

Vigil James  1 , Jade Seguin  2 , Charisse W Kwan  1
Affiliations
Case Reports

Urachal Cyst Diagnosed by Point-of-care Ultrasound

Vigil James et al. Clin Pract Cases Emerg Med. .

Abstract

Irreducible umbilical swelling in infants is considered a surgical emergency because a delay in surgical intervention for an incarcerated umbilical hernia can lead to bowel ischemia and necrosis. We report two patients who presented to a pediatric emergency department with history and symptoms of irreducible umbilical mass suggestive of umbilical hernia. Point-of-care ultrasound was used at the bedside to demonstrate the presence of urachal cyst remnants and accurately guided the care of these children.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1
Image 1
A linear transducer (14-5MHz) image in transverse view demonstrating urachal cyst (*) located between the abdominal recti (†) muscles, superficial to the peritoneal cavity. The hyperechoic lines with posterior shadowing represent bowel gas.
Image 2
Image 2
A linear transducer (14-5MHz) image in transverse view demonstrating urachal cyst (*) located superficial to the peritoneal cavity. The hyperechoic lines with posterior shadowing represent bowel gas and heterogeneous material inside the peritoneum within the bowel loops represent stool.
See this image and copyright information in PMC

References

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