Department of General Surgery, Barnsley Hospital NHS Foundation Trust, Gawber Road, Barnsley, S75 2EP, UK.
Hernia. 2011 Feb;15(1):93-5. doi: 10.1007/s10029-009-0618-7. Epub 2010 Jan 13.
The urachal cyst is a rare clinical entity of a urachal remnant. It is usually asymptomatic but can present with haematuria, tumour, urachal stone and infection. We present a case of a 63-year-old lady with a body mass index (BMI) of 49 who presented with a painful swelling in the umbilical region associated with an umbilical hernia. An ultrasound and computed tomography (CT) scan showed a suspected herniation of an umbilical remnant cyst through a paraumbilical defect. Laparoscopy confirmed the urachal cyst of 3 cm in size with a band connected with the cyst down to the urinary bladder associated with a 3-cm paraumbilical hernia. We removed the cyst and repaired the hernia laparoscopically uneventfully, after which her recovery was perfect. Radiological and laparoscopic pictures have not been reported in the English literature before. Although this condition is very rare, we suggest that it should be considered in the differential diagnosis of painful paraumbilical swelling. CT scanning and laparoscopy seems to be valuable, especially in obese patients.
脐尿管囊肿是一种罕见的脐尿管残留病变，通常无症状，但可表现为血尿、肿瘤、脐尿管结石和感染。我们报告了 1 例 63 岁女性患者，BMI 为 49，脐部疼痛性肿胀，伴有脐疝。超声和 CT 扫描显示疑似脐残端囊肿通过脐旁缺损疝出。腹腔镜检查证实为 3cm 大小的脐尿管囊肿，与囊肿相连的 1 条带状结构向下连接至膀胱，伴有 3cm 脐旁疝。我们成功地进行了腹腔镜下囊肿切除和疝修补，术后恢复良好。在此之前，尚未有英文文献报道过这种疾病的影像学和腹腔镜图片。尽管这种情况非常罕见，但我们建议在脐旁疼痛性肿胀的鉴别诊断中应考虑到这种情况。CT 扫描和腹腔镜检查似乎很有价值，特别是在肥胖患者中。
