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A Case of Urachal Cyst Infection Occurring During Corticosteroids Therapy in a Patient with IgA Nephropathy

IgA 신병증 환자에서 부신 피질 호르몬 치료 중에 발생한 요막관 낭종의 감염

  • Kweon, Young-Lan (Department of Pediatrics, College of Medicine, Kyunghee University) ;
  • Hahn, Won-Ho (Department of Pediatrics, College of Medicine, Kyunghee University) ;
  • Seo, Jin-Soon (Department of Pediatrics, College of Medicine, Kyunghee University) ;
  • Kim, Sung-Do (Department of Pediatrics, College of Medicine, Kyunghee University) ;
  • Cho, Byoung-Soo (Department of Pediatrics, College of Medicine, Kyunghee University)
  • 권영란 (경희대학교 의과대학 소아과학교실) ;
  • 한원호 (경희대학교 의과대학 소아과학교실) ;
  • 서진순 (경희대학교 의과대학 소아과학교실) ;
  • 김성도 (경희대학교 의과대학 소아과학교실) ;
  • 조병수 (경희대학교 의과대학 소아과학교실)
  • Published : 2009.10.31

Abstract

The urachus is a normal embryonic remnant of the primitive dome. It generally exists as a fibrous cord extending from the dome of the bladder to the umbilicus. Disorders of the urachus are developed as a result of its incomplete regression. The urachal cyst is the most common urachal anomaly, and is usually asymptomatic in infancy and childhood. However, when the cysts are large or accompanied with secondary infection, they may be detected in its early stage. A sonography or CT scan may be helpful to confirm the diagnosis of urachal cyst. The managements of infected urachal cyst are varied from simple drainage to radical excision. Here, we report an unusual case of urachal cyst infection that occurred during corticosteroids therapy in a girl with IgA nephropathy.

요막관 낭종은 요막관 기형 중 가장 흔한 질환으로서 낭종에 염증이 발생하였을 때 적절한 치료가 지연되면 패혈증 등의 심각한 합병증에 이르기도 한다. 저자는 IgA 신병증으로 스테로이드 치료 중인 환아에서 발생한 요막관 낭종의 감염이 수술적 절제로서 증상이 호전된 사례를 경험하였다. 추후, 스테로이드 치료와 낭종의 감염 사이에 연관성이 있는지에 대한 더 많은 연구가 필요할 것으로 사료된다.

Keywords

References

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