Bo Yang
Department of Urology, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China 116027.
Urol Ann. 2014 Jul;6(3):244-6. doi: 10.4103/0974-7796.134288.
Simple cysts are rare in the urinary bladder and can pose a diagnostic dilemma to both the urologist and the histopathologist. No case study was found in the database of Elsevier Science Direct, Spring-Link, or PubMed. We present two cases of subserous cyst in the bladder and discuss the diagnosis and treatment of the condition. The cystic lesion at bladder dome was detected by radiologic examination and confirmed by cystoscopy. In case 1, transurethral resection was first performed which was followed by partial cystectomy; In case 2, the cyst was removed with the urachus using laparoscopic surgery. The patients recovered uneventfully and the histopathology showed cysts in subserous layer of urinary bladder. The bladder cyst should be distinguished from urachal tumor, and laparoscopic partial cystectomy is the preferred operative procedure.
单纯性囊肿在膀胱中较为罕见,可能会给泌尿外科医生和组织病理学家带来诊断难题。在爱思唯尔科学Direct、Spring-Link或PubMed数据库中未发现相关病例研究。我们报告两例膀胱浆膜下囊肿病例,并讨论该病症的诊断和治疗。膀胱穹窿部的囊性病变通过影像学检查发现,并经膀胱镜检查确诊。病例1中,首先进行了经尿道切除术,随后进行了部分膀胱切除术;病例2中,使用腹腔镜手术将囊肿与脐尿管一并切除。患者恢复顺利,组织病理学显示膀胱浆膜下层有囊肿。膀胱囊肿应与脐尿管肿瘤相鉴别,腹腔镜部分膀胱切除术是首选的手术方式。