Presentation
Periumbilical abdominal pain.
Patient Data
Age: 19-year-old
Gender: Female
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Cecal appendix was not identified. In the umbilical region, where the patient complains of pain, a tubular structure is identified tracking from the umbilicus to the bladder dome. This structure is dilated in its proximal umbilical portion, where it shows anechoic cystic component and thick walls with hyperemia on Doppler.
From the case:
Inflamed umbilical-urachal sinus
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Annotated images delineating the urachus remnants (yellow lines) with proximal umbilical sinus dilatation.
Case Discussion
The clinical and sonographic features favor an inflamed/infected umbilical urachal sinus.