{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T05:47:27Z","timestamp":1777268847688,"version":"3.51.4"},"reference-count":12,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T00:00:00Z","timestamp":1777161600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T00:00:00Z","timestamp":1777161600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>While infection is a recognized complication of congenital urachal cysts, progression to an inflammatory phlegmon causing bowel ischemia is an exceptionally rare and life\u2010threatening event in the pediatric population. We report the case of a 14\u2010year\u2010old male with a 7\u2010year history of an infraumbilical mass who presented with an acute abdomen. Contrast\u2010enhanced computed tomography revealed a 7.1\u2009cm urachal phlegmon with a central necrotic core and dense adherence to the adjacent ileum. Exploratory laparotomy confirmed irreversible segmental small bowel ischemia, necessitating en\u2010bloc excision of the urachal remnant and the affected 12\u2009cm ileal segment with a primary anastomosis. Histopathology confirmed a benign infected cyst with associated transmural bowel necrosis. This case highlights that long\u2010standing urachal anomalies can evolve into aggressive inflammatory masses capable of precipitating visceral compromise. It underscores the importance of a high index of suspicion for rare complications and supports the consideration of definitive surgical excision for symptomatic remnants to mitigate the risk of severe morbidity.<\/jats:p>","DOI":"10.1002\/ccr3.72598","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T05:20:01Z","timestamp":1777267201000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bowel Ischemia: A Life\u2010Threatening Complication of an Infected Urachal Cyst in an Adolescent"],"prefix":"10.1002","volume":"14","author":[{"given":"Sheeraz","family":"Ali","sequence":"first","affiliation":[{"name":"Liaquat University of Medical and Health Sciences  Jamshoro Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FNU","family":"Saliha","sequence":"additional","affiliation":[{"name":"The University of Lahore  Lahore Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bilal","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Shalamar Medical and Dental College  Lahore Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul Eizad","family":"Asif","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Pharmacy of Rabat Mohammed V University  Rabat Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6138-6684","authenticated-orcid":false,"given":"Khalil El","family":"Abdi","sequence":"additional","affiliation":[{"name":"Jinnah Medical and Dental College  Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bilal","family":"Aslam","sequence":"additional","affiliation":[{"name":"Kabul University of Medical Sciences Abu Ali Ibn Sina  Kabul Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fazeela","family":"Bibi","sequence":"additional","affiliation":[{"name":"Jinnah Medical and Dental College  Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7885-6214","authenticated-orcid":false,"given":"Said Hamid","family":"Sadat","sequence":"additional","affiliation":[{"name":"Kabul University of Medical Sciences Abu Ali Ibn Sina  Kabul Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,26]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01627586"},{"key":"e_1_2_13_3_1","volume-title":"StatPearls [Internet]","author":"Briggs K. 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