Interesting case

Gen Sx 1

IB3470

Sex : Woman
Age : 51 years
Address : Mahasarakam
Occupation : Farmer

History
CC : 2 .
PI : 2 .

1 .

1 . .
CT scan .

History

Physical Examination

A middle aged woman

BT 38.2 PR 96
RR 20
BP 100/70
BW 54 kg Ht 150 cm
HEENT : not pale, no jaundice, LN-ve
Heart : NAD
Lungs : NAD

Physical Examination
Abdomen

CBC+plt

Bun 8.7 Cr 0.6

Hb 11

Na 136

Hct 33

HCo3 28 Cl 100

K 4.2

WBC 11800
Plt 324000

UA

PMN 89

Sp.gr 1.018

pH 5.5

L7

WBC >100

RBC >100

Woman, 51 years
Provisional Dx
Abdominal wall mass (infra-umbilicus)

DDx
Urachal Abscess
Urachal remnant CA

Woman, 51 years
What is your next step?

Operation
Impression
Urachal Abscess

Procedure
Urachal abscess excision
Partial cystectomy

Thank You