Remanentes uracales y abdomen agudo: cuando no es lo que parece.

Autores/as

  • Julio César Moreno-Alfonso Cirugía Pediátrica. Hospital Universitario de Navarra. Servicio Navarro de Salud-Osasunbidea. Pamplona. España. https://orcid.org/0000-0002-0414-2888
  • Lidia Ayuso González Cirugía Pediátrica. Hospital Universitario de Navarra. Servicio Navarro de Salud-Osasunbidea. Pamplona. España.
  • Sara Hernández Martín Cirugía Pediátrica. Hospital Universitario de Navarra. Servicio Navarro de Salud-Osasunbidea. Pamplona. España. https://orcid.org/0000-0002-5038-225X
  • Javier Arredondo Montero Cirugía Pediátrica. Hospital Universitario de Navarra. Servicio Navarro de Salud-Osasunbidea. Pamplona. España. https://orcid.org/0000-0002-0943-6367
  • Raquel Ros Briones Cirugía Pediátrica. Hospital Universitario de Navarra. Servicio Navarro de Salud-Osasunbidea. Pamplona. España. https://orcid.org/0000-0002-3230-1567
  • Alberto Pérez Martínez Cirugía Pediátrica. Hospital Universitario de Navarra. Servicio Navarro de Salud-Osasunbidea. Pamplona. España. https://orcid.org/0000-0002-8273-0220

DOI:

https://doi.org/10.23938/ASSN.1026

Palabras clave:

Uraco, Dolor abdominal, Apendicitis, Pediatría

Resumen

Among the causes of acute surgical abdomen, infection of a urachal remnant may go unnoticed despite routine complementary studies.

We present three cases in boys aged 11, 6, and 4 years who were brought to the emergency department for right iliac fossa pain, fever, and urinary symptoms. Examination and complementary tests results were compatible with acute complicated appendicitis and were sent to surgery. While in the operating room, appendicitis was excluded and inflammatory changes suggestive of infection of the urachal remnant were documented. Complications of urachal remnants should be considered in the differential diagnosis of acute surgical abdomen, since advanced infection of the urachus may be a cause of confusion. A more accurate presumptive diagnosis can change the therapeutic/surgical approach and follow-up.

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Biografía del autor/a

Julio César Moreno-Alfonso , Cirugía Pediátrica. Hospital Universitario de Navarra. Servicio Navarro de Salud-Osasunbidea. Pamplona. España.

Cirugía Pediátrica. Hospital Universitario de Navarra. Servicio Navarro de Salud-Osasunbidea. Pamplona. España.

Escuela de Doctorado. Universidad Pública de Navarra. Pamplona. España.

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Publicado

2022-12-28

Cómo citar

Moreno-Alfonso, J. C., Ayuso González, L., Hernández Martín, S. ., Arredondo Montero, J., Ros Briones, R., & Pérez Martínez, A. (2022). Remanentes uracales y abdomen agudo: cuando no es lo que parece. Anales Del Sistema Sanitario De Navarra, 45(3), e1026. https://doi.org/10.23938/ASSN.1026