Evidence map›Paper›PMID 42211637›Full record

ArticleCureus2026

Umbilical Drainage in a Young Adult: Presentation and Management of an Infected Urachal Remnant.

Joshua Chait, Arsha Sharma, Rachel E Bridwell, Zachary M Keene, Robert J Conrad

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Joshua ChaitGeneral Surgery, Carolinas Medical Center, Charlotte, USA.
Arsha SharmaGeneral Surgery, Wake Forest School of Medicine, Charlotte, USA.
Rachel E BridwellEmergency Medicine, Carolinas Medical Center, Charlotte, USA.
Zachary M KeeneEmergency Medicine, Army Special Operations Aviation Command, Fort Bragg, USA.
Robert J ConradGeneral Surgery, Carolinas Medical Center, Charlotte, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Urachal remnants are rare congenital anomalies that typically regress in early childhood, infrequently encountered in adults. When symptomatic, infection is the most common presentation and may mimic more common causes of abdominal pathology, leading to delayed diagnosis. We report the case of a 20-year-old male who presented with abdominal pain and purulent umbilical discharge that failed outpatient antibiotic therapy. Computed tomography (CT) demonstrated subcutaneous collections with calcified material concerning for an infected urachal remnant, confirmed on CT cystogram, requiring incision and drainage with drain placement, followed by planned definitive surgical excision. Because of the infrequent nature of adult urachal remnants, they may be underrecognized at initial presentation. CT is essential for diagnosis and operative planning, as parenteral antibiotics and drainage are the mainstay of treatment for acute infection, with delayed definitive excision, and are key to optimal outcomes and recurrence prevention.

Indexed as

incision and drainage of abscessinfected urachal cystinfected urachal remnantumbilical abscessurachal remnant

Identifiers

PMID42211637
PMCPMC13215658

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.