Zanghì A, Cavallaro A, Di Vita M, Piccolo G, Barbera G, Di Mattia P, Cappellani A
Department of Surgery, General Surgery and Breast Unit, Catania University Hospital, 95123, Catania, Italy.
Clin Ter. 2011;162(5):439-41.
Urachal cysts are usually asymptomatic. Symptoms, when present, are usually acute abdominal pain, fever, midline hypogastric tenderness, palpable mass, evidence of urinary infection or haematuria due to infection of the cyst. We report an unique case of dyspareunia and "abdominal fluid flowing feeling" caused by an urachal cyst in a 28 year-old nulliparous woman. Diagnosis was achieved by US and MRI. Cystography excluded any cyst-bladder communication. Laparoscopic surgery was performed without perioperative complications. Patient obtained immediate relief of symptoms still continuing at a 24 months follow up.
脐尿管囊肿通常无症状。如有症状，通常为急性腹痛、发热、下腹中线压痛、可触及肿块、因囊肿感染出现尿路感染或血尿的证据。我们报告一例28岁未生育女性因脐尿管囊肿导致性交困难和“腹内有液体流动感”的独特病例。通过超声和磁共振成像确诊。膀胱造影排除了囊肿与膀胱的任何连通。行腹腔镜手术，无围手术期并发症。患者症状立即缓解，在24个月的随访中症状持续缓解。
