Yeats Melania, Pinch Lewis
Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA.
J Pediatr Surg. 2003 Nov;38(11):E12-3. doi: 10.1016/j.jpedsurg.2003.08.003.
An infant was born at term after having received a diagnosis of omphalacele on prenatal ultrasound scan. She did not have an omphalacele but rather had a patent urachus with bladder eversion onto the abdominal wall. The remainder of the genitourinary tract was normal, and it was possible to pass a soft catheter through the urethra and out of the evaginated bladder. The prolapse was repaired without complications, and the infant recovered uneventfully. A voiding cystourethrogram and renal ultrasound scan were normal at 2 month follow-up. The embryology and malformations of the urachus are discussed, and the rare case reports of similar anomalies are reviewed.
一名婴儿在产前超声检查诊断为脐膨出后足月出生。她并没有脐膨出，而是患有脐尿管未闭，膀胱外翻至腹壁。泌尿生殖道的其余部分正常，可以通过尿道插入一根软导管并从外翻的膀胱引出。脱垂得到修复，没有并发症，婴儿顺利康复。在2个月的随访中，排尿性膀胱尿道造影和肾脏超声检查均正常。本文讨论了脐尿管的胚胎学和畸形，并回顾了类似异常的罕见病例报告。
