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Infected urachal cyst secondary to a Crohn's enterourachal fistula

  • Lindsay L. Hollander
    Affiliations
    Division of Pediatric Surgery, Connecticut Children's Medical Center, Hartford, CT, USA
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  • Eric D. Girard
    Correspondence
    Corresponding author. Division of Pediatric Surgery, Connecticut Children's Medical Center, Hartford, CT 06106, USA.
    Affiliations
    Division of Pediatric Surgery, Connecticut Children's Medical Center, Hartford, CT, USA
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  • Kimberly A. Ruscher
    Affiliations
    Division of Pediatric Surgery, Connecticut Children's Medical Center, Hartford, CT, USA
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  • Wael Sayej
    Affiliations
    Division of Pediatric Gastroenterology, Connecticut Children's Medical Center, Hartford, CT, USA
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  • Christina Kim
    Affiliations
    Division of Pediatric Urology, Connecticut Children's Medical Center, Hartford, CT, USA
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  • Author Footnotes
    1 Please address all reprint requests to: Christine M. Finck, MD, Division of Pediatric Surgery, Connecticut Children's Medical Center, Hartford, CT 06106, USA.
    Christine M. Finck
    Footnotes
    1 Please address all reprint requests to: Christine M. Finck, MD, Division of Pediatric Surgery, Connecticut Children's Medical Center, Hartford, CT 06106, USA.
    Affiliations
    Division of Pediatric Surgery, Connecticut Children's Medical Center, Hartford, CT, USA
    Search for articles by this author
  • Author Footnotes
    1 Please address all reprint requests to: Christine M. Finck, MD, Division of Pediatric Surgery, Connecticut Children's Medical Center, Hartford, CT 06106, USA.

      Abstract

      Enterourachal fistulas are exceedingly rare in Crohn's patients. We report a case of a presumed enterourachal fistula that led to an infected urachal cyst. Preoperative medical treatment obliterated the fistula and avoided the need to resect bowel at the time of operation. We recommend consideration of this diagnosis in a Crohn's patient with a midline abdominal mass.

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