Colo-urachal-cutaneous fistula in an adult

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Published May 9, 2011
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Vol. 89 No. 5 (2011): Issue May 2011

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Wael Rebai
Rachid Ksantini
Cherif Abdelhedi
Faouzi Chebbi
Department of Surgery
Mourad Gargouri
Amin Makni
Sofiene Ayadi
Amin Daghfous
Fadhel Fterich
Haykal Bedioui
Mohamed Jouini
Montasser Kacem
Zoubeir Ben Safta

Abstract

Background: An infected urachal cyst is an uncommon finding in adults.
Aim: To report a case of a sigmoid– urachal– cutaneous fistula.
Case report: A 51 years old adult male presented with fecaloid leaking from rupture of an infected urachal cyst. Definitive management consisted of resection of the urachus with a bladder cuff, along with removal of the affected bowel segments.
Conclusion: Colo-urachal-cutaneous fistula is a rare condition; its management is rather complex.

Keywords:

Urachal, cyst, fistula, sigmoid

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