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Pediatric Rounds Review Questions
A 17-Year-Old Boy with Umbilical Discharge

Answer 3

  1. Pelvic inflammatory disease. Documented complications of infected urachal cysts include acute hemorrhage; systemic sepsis; and stone, fistula, and abscess formation. Pelvic inflammatory disease is a complication of sexually transmitted infection, usually chlamydia or gonorrhea. Infected urachal cysts can clinically mimic pelvic inflammatory disease, appendicitis, and inflammatory bowel disease.

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