Identification of an Infected Urachal Cyst Using Point-of-Care

Pediatric emergency care · Jun 2021

Case Reports

Identification of an Infected Urachal Cyst Using Point-of-Care Ultrasound.

This case describes a 6-year-old girl who presented to the pediatric emergency department with 3 days of fever and suprapubic pain in the setting of 1 month of worsening, dull abdominal pain. On presentation, she had a tender, erythematous, and fluctuant mass on her lower abdomen. Point-of-care ultrasound was used to identify an abnormal fluid collection anterior to her bladder, suspicious for an infected urachal cyst. In this case, point-of-care ultrasound helped identify this uncommon finding in a timely fashion, which expedited definitive care and prevented unnecessary exposure to ionizing radiation.

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- Samuel Austin, Candice Jersey, Michael Soltis, and Henry Chicaiza.
- From the UCONN Emergency Medicine Residency, Farmington; and Division of Emergency Medicine, Connecticut Children's Medical Center, Hartford, CT.
- Pediatr Emerg Care. 2021 Jun 1; 37 (6): 323324323-324.
AbstractThis case describes a 6-year-old girl who presented to the pediatric emergency department with 3 days of fever and suprapubic pain in the setting of 1 month of worsening, dull abdominal pain. On presentation, she had a tender, erythematous, and fluctuant mass on her lower abdomen. Point-of-care ultrasound was used to identify an abnormal fluid collection anterior to her bladder, suspicious for an infected urachal cyst. In this case, point-of-care ultrasound helped identify this uncommon finding in a timely fashion, which expedited definitive care and prevented unnecessary exposure to ionizing radiation.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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Identification of an Infected Urachal Cyst Using Point-of-Care Ultrasound.

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