Okumura Akiou, Tsuritani Shinji, Kiriyama Masato, Arai Kazunori, Takagawa Kiyoshi, Fuse Hideki
The Department of Urology, Kurobe City Hospital.
Hinyokika Kiyo. 2013 Mar;59(3):179-81.
A 64-year-old woman presented to our hospital with the chief complaints of abdominal pain and appetite loss, and she was admitted to the internal medicine department. Kidney, ureter and bladder X-ray revealed intrapelvic calcification near the bladder, and so, the patient consulted our department. Computed tomography and magnetic resonance imaging revealed an urachal abscess accompanied by a stone. Open surgery was performed under general anesthesia. The mass adhered tightly to the intestine and bladder. The urachal abscess ruptured during the operation, and pus leaked into the intraabdominal cavity. Partial cystectomy was performed to remove the mass completely. The stone existed in the urachal abscess, and its constituents were CaOxa (51%) and CaP (49%). The pathological diagnosis was urachal abscess without malignancy.
一名64岁女性因腹痛和食欲减退为主诉前来我院就诊，被收入内科。肾脏、输尿管和膀胱X线检查显示膀胱附近盆腔内钙化，因此，患者前来我科咨询。计算机断层扫描和磁共振成像显示脐尿管脓肿伴有结石。在全身麻醉下进行了开放手术。肿块与肠道和膀胱紧密粘连。手术过程中脐尿管脓肿破裂，脓液漏入腹腔。进行了部分膀胱切除术以彻底切除肿块。结石存在于脐尿管脓肿中，其成分是草酸钙（51%）和磷酸钙（49%）。病理诊断为无恶性的脐尿管脓肿。
