Thapar R B, Jha V U, Mehta R U, Shah G R
Department of Radiology, Sir Hurkisondas Nurrotamdas Hospital & Research Center, Raja RamMohan Roy Road, Mumba-400004, India.
Br J Radiol. 2006 Jul;79(943):e1-4. doi: 10.1259/bjr/96369737.
The urachus, or median umbilical ligament, is a midline tubular structure that extends upward from the anterior dome of the bladder toward, the umbilicus and represents the vestigial remnant of at least two embryonic structures, the cloaca and the allantois. The tubular urachus normally involutes before birth, remaining as a fibrous band, however its persistence can give rise to various clinical problems, not only in infants and children but also in adults. We report two cases of pyourachus at our institute with a review of the clinical presentation, imaging findings and surgical management. Both our patients were young males, with haematuria being the presenting feature in one case which has not been previously described in literature.
脐尿管，即脐正中韧带，是一种中线管状结构，从膀胱前穹窿向上延伸至脐部，代表至少两个胚胎结构泄殖腔和尿囊的遗迹。管状脐尿管通常在出生前退化，仅残留为一条纤维带，但其持续存在可引发各种临床问题，不仅见于婴幼儿，也见于成人。我们报告我院两例脐尿管积脓病例，并对临床表现、影像学表现及手术治疗进行综述。我们的两名患者均为年轻男性，其中一例以血尿为主要表现，这在以往文献中未见报道。
