Case Report

Urachal Remnant Small Bowel Obstruction: Report of Two Adult Cases

Authors: Khashayar Vaziri, MD, Todd A. Ponsky, MD, Jon C. White, MD, Bruce A. Orkin, MD

Abstract

This report describes two separate cases of adult patients with intestinal obstruction caused by an urachal remnant. While reports of infected urachal cysts causing intra-abdominal pathology are not uncommon, intestinal obstruction caused by urachal remnants is exceedingly rare in the pediatric population and has never been described in adults. Both of these patients required surgical intervention with excision of the urachal remnant and subsequent resolution of the small bowel obstruction.


Key Points


* In the face of normal regression, urachal remnants can cause significant intra-abdominal pathology in adults.


* This report describes two adult cases of small bowel intestinal obstruction caused by normally regressed urachal remnants.


* Proper identification of an urachal remnant as the cause of small bowel intestinal obstruction and appropriate management is important in the treatment of this disease.

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