“Look Before You Leap”: Urachal Mass in Adults
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Case Report
A 58-year-old gentleman had an insidious onset of abdominal pain and anorexia. The pain was described as continuous, diffuse but greatest in hypogastric region, low grade and non-radiating and not associated with fever or vomiting. He also had features of dysuria. He denied any hematuria, altered bowel habits or loss of weight. Patient was a smoker with a recent diagnosis of diabetes mellitus. He had neither any similar complaints nor underwent any surgical procedure before. On physical examination, ECOG was 0, blood pressure was 110/70 mm Hg, body temperature was 98.8 °F, heart rate was 88 beats/min, respiratory rate was 22 breaths/min and body mass index (BMI) was 21.17. The abdomen was soft with a tender hypogastric area without guarding and rigidity. A vague soft to firm mass was palpable with slight nodularity in the abdominal wall. Bowel sounds were normal. Per rectal examination revealed normal tone of the sphincters, no prostatomegaly, normal rectal mucosa and no palpable mass.

Laboratory data revealed normal total and differential leucocyte counts, normal hemoglobin and platelets levels. Blood biochemistry revealed normal liver and renal function tests. Urine cytology revealed numerous polymorphs with few lymphomononuclear inflammatory cells and was negative for malignant cells. Urine culture and sensitivity showed growth of Escherichia coli (> 100,000 CFU/mL) and were sensitive to all antibiotics tested.....

http://wjon.org/index.php/wjon/article/view/999/768
Like
Comment
Share