Kurguzov O P, Solomka Ia A, Shumaĭ I P
Khirurgiia (Mosk). 1991 Jul(7):96-8.
The work analyses observation findings in three patients with urachal cysts. On admission, two of the patients had suppurating cysts simulating the picture of the acute abdomen, one of which presented the clinical signs of acute appendicitis so vividly as to require revision of the abdominal organs. The diagnostic errors that have been made are also analysed. A conclusion is derived by the authors on the expediency of an active surgical tactics in cases of suppurating urachal cysts. They suggest extensive cyst excision with application of continuous suture and drainage of the wound to be the operation of choice.
该研究分析了3例脐尿管囊肿患者的观察结果。入院时,其中2例患者的囊肿化脓,呈现出急腹症的症状,其中1例患者急性阑尾炎的临床体征非常明显,以至于需要对腹部器官进行检查。文中还分析了所出现的诊断错误。作者得出结论,对于化脓性脐尿管囊肿病例,采取积极的手术策略是适宜的。他们建议,选择的手术方式为广泛切除囊肿,采用连续缝合并对伤口进行引流。