case_images: PMC7421747_01
case_images: Contrast-enhanced computed tomographic image showing a cystic lesion with peripheral enhancement (arrow), thus excluding the initial diagnosis of an incarcerated hernia.
case_images: CRIU2020-8886936.001.jpg
case_images: PMC7421747_01_CRIU2020-8886936.001.jpg
case_images: fig1
case_images: Computed Tomography (CT) revealed a cystic lesion with peripheral enhancement arising from the bladder dome and extending to the umbilical region, leading to a suspected diagnosis of an infected urachal diverticulum (Figures 1 and 2).
case_images: Contrast-enhanced computed tomography (sagittal plane) showing the cystic lesion (arrow-above) arising from the bladder dome (arrow-below) and extending to the umbilical region, leading to a suspected diagnosis of an infected vesicourachal diverticulum.
case_images: CRIU2020-8886936.002.jpg
case_images: PMC7421747_01_CRIU2020-8886936.002.jpg
case_images: fig2
case_images: Computed Tomography (CT) revealed a cystic lesion with peripheral enhancement arising from the bladder dome and extending to the umbilical region, leading to a suspected diagnosis of an infected urachal diverticulum (Figures 1 and 2).
case_images: Cystography showing the bladder filled with contrast (arrow-below) without diffusion of the contrast inside the vesicourachal diverticulum (arrow-above), probably due to infection and a small opening of its lumen.
case_images: CRIU2020-8886936.003.jpg
case_images: PMC7421747_01_CRIU2020-8886936.003.jpg
case_images: fig3
case_images: A cystography was additionally performed which also revealed findings compatible with an infected urachal diverticulum (Figure 3).
case_images: Intraoperative image during the dissection of the urachal remnant (arrow).
case_images: CRIU2020-8886936.004.jpg
case_images: PMC7421747_01_CRIU2020-8886936.004.jpg
case_images: fig4
case_images: Three months later, the patient underwent a scheduled open surgical excision of the urachal remnant including a cuff of normal bladder, through an infraumbilical vertical midline incision (Figures 4-6).
case_images: Intraoperative image showing the vesicourachal diverticulum (arrow-above) arising from the anterosuperior margin of the bladder (arrow-below).
case_images: CRIU2020-8886936.005.jpg
case_images: PMC7421747_01_CRIU2020-8886936.005.jpg
case_images: fig5
case_images: Three months later, the patient underwent a scheduled open surgical excision of the urachal remnant including a cuff of normal bladder, through an infraumbilical vertical midline incision (Figures 4-6).
case_images: Surgical specimen of the resected vesicourachal diverticulum with a bladder cuff and the JJ stent in place (arrow).
case_images: CRIU2020-8886936.006.jpg
case_images: PMC7421747_01_CRIU2020-8886936.006.jpg
case_images: fig6
case_images: Three months later, the patient underwent a scheduled open surgical excision of the urachal remnant including a cuff of normal bladder, through an infraumbilical vertical midline incision (Figures 4-6).