Urachal anomalies are rare conditions caused by the failure of complete obliteration of the urachus during gestation.The most common of these conditions is urachal cyst.1 Urachal cyst is often misdiagnosed leading to ...Urachal anomalies are rare conditions caused by the failure of complete obliteration of the urachus during gestation.The most common of these conditions is urachal cyst.1 Urachal cyst is often misdiagnosed leading to complications,such as sepsis,fistula formation,and rupture.We report a rare case of infected urachal cyst leading to severe sepsis in a neonate.展开更多
An 11-year old boy without any medical history presented with a 4-day history of vomiting and abdominal pain,followed by appearance of fever and decreased energy.Physical examination showed a blood pressure of 90/60 m...An 11-year old boy without any medical history presented with a 4-day history of vomiting and abdominal pain,followed by appearance of fever and decreased energy.Physical examination showed a blood pressure of 90/60 mm Hg,a pulse rate of 120/min,a temperature of 40℃,oxygen satu-ration of 93%on air,and diffuse abdominal contracture.Laboratory values showed hyperleukocytosis(24,000/mm^(3)),hemoglobin of 15 g/L,prothrombin time of 48%,and creatinine of 127 mmol/L.An abdom-inal computed tomography(CT)showed a thick perforated appendix,an abundant intraperitoneal effusion,and pneumo-peritoneum.展开更多
A 3-year old female child with a history of intermittent abdominal pain and postprandial vomiting presented with fever,vomiting,and abdominal pain.The epigastrium was mildly sensitive on examination.Laboratory studies...A 3-year old female child with a history of intermittent abdominal pain and postprandial vomiting presented with fever,vomiting,and abdominal pain.The epigastrium was mildly sensitive on examination.Laboratory studies showed elevated leukocyte count(13000/L),amylase(667 U/L),and lipase(2332 U/L).Abdominal CT showed pancreatitis with a cystic lesion repressing the pancreatic head.展开更多
文摘Urachal anomalies are rare conditions caused by the failure of complete obliteration of the urachus during gestation.The most common of these conditions is urachal cyst.1 Urachal cyst is often misdiagnosed leading to complications,such as sepsis,fistula formation,and rupture.We report a rare case of infected urachal cyst leading to severe sepsis in a neonate.
文摘An 11-year old boy without any medical history presented with a 4-day history of vomiting and abdominal pain,followed by appearance of fever and decreased energy.Physical examination showed a blood pressure of 90/60 mm Hg,a pulse rate of 120/min,a temperature of 40℃,oxygen satu-ration of 93%on air,and diffuse abdominal contracture.Laboratory values showed hyperleukocytosis(24,000/mm^(3)),hemoglobin of 15 g/L,prothrombin time of 48%,and creatinine of 127 mmol/L.An abdom-inal computed tomography(CT)showed a thick perforated appendix,an abundant intraperitoneal effusion,and pneumo-peritoneum.
文摘A 3-year old female child with a history of intermittent abdominal pain and postprandial vomiting presented with fever,vomiting,and abdominal pain.The epigastrium was mildly sensitive on examination.Laboratory studies showed elevated leukocyte count(13000/L),amylase(667 U/L),and lipase(2332 U/L).Abdominal CT showed pancreatitis with a cystic lesion repressing the pancreatic head.
