Bergami G L, Inserra A, Ciprandi G, Barbuti D, Di Mario M, Boglino C
Istituto di Ricerca Scientifica, Ospedale Pediatrico Bambino Gesù, Roma.
Minerva Chir. 1992 May 15;47(9):879-83.
Urachus is a tubular structure lined between foetal bladder and the umbilicus and is susceptible to complete or partial involution after birth. Persistence of the urachus results in a wide spectrum of anomalies: patent urachus, vesicourachal diverticulum, urachal sinus and cysts are more frequently seen than rare multiple urachal remnants. This kind of pathology focuses the problem of differential diagnosis (tumours, omental and ovarian cysts, vesical diverticulum or duplication) and may be complicated by a superinfection. The Authors discuss a bizarre multiple urachal remnant, presenting with urinary tract symptoms, which may be clinically confused with acute appendicitis or Meckel's diverticulitis. Contribution of sonography for a complete diagnosis is stressed, such as the precise correlation with surgical findings.
脐尿管是胎儿膀胱与脐之间的管状结构，出生后易完全或部分退化。脐尿管持续存在会导致多种异常：脐尿管未闭、膀胱脐尿管憩室、脐尿管窦和囊肿比罕见的多发脐尿管残余更常见。这类病变集中了鉴别诊断问题（肿瘤、网膜和卵巢囊肿、膀胱憩室或重复畸形），且可能因继发感染而复杂化。作者讨论了一例表现为尿路症状的奇异多发脐尿管残余病例，其在临床上可能与急性阑尾炎或梅克尔憩室炎相混淆。强调了超声检查对完整诊断的作用，以及与手术结果的精确相关性。
