Case Quiz

Abstract

A 60-year-lady complained of abdominal discomfort and discharge from the umbilicus for the past 1 month. There was occasional haematuria and mucusuria. However, there was no frequency or dysuria. On examination, she was cachexic but vital signs were stable. She was afebrile. The abdomen was mildly distended and there was a vague suprapubic mass which was mildly tender. There was serous discharge seen at the umbilicus. A CT scan of the abdomen/pelvis was performed (See figures). Having read the above case, answer the following:
1. What is your final diagnosis?
2. What is the embryological aspect involved with this condition?
3. What is the management for this lady?