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一名24岁男性膀胱脐尿管憩室伴结石的罕见病例。

A Rare Case of Vesicourachal Diverticulum with Calculus in a 24-Year-Old Man.

作者信息

Atalar Mehmet Haydar, Salk Ismail, Cetin Ali, Bozbiyik Nisa

机构信息

Department of Radiology, Cumhuriyet University, School of Medicine, Sivas, Turkey.

Department of Obstetrics and Gynecology, Cumhuriyet University, School of Medicine, Sivas, Turkey.

出版信息

Pol J Radiol. 2016 Jun 25;81:301-2. doi: 10.12659/PJR.896129. eCollection 2016.

DOI:10.12659/PJR.896129
PMID:27429672
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4927143/
Abstract

BACKGROUND

During embryonal period, complete obliteration of the urachus at the umbilicus and incomplete closure at the bladder level are the cause of vesicourachal diverticulum. This abnormality is a rare finding that is usually discovered incidentally during radiological evaluation. Occasionally, stones have been detected within the diverticulum.

CASE REPORT

We present a case of a vesicourachal diverticulum with calculus diagnosed by multidetector computed tomography and confirmed surgically and histopathologically in a 24-year-old man.

CONCLUSIONS

During the radiological differential diagnosis of abnormalities of abdominal wall and urinary system, consideration of urachal abnormalities is important especially in symptomatic patients.

摘要

背景

在胚胎期,脐部脐尿管完全闭塞而膀胱水平处闭合不全是膀胱脐尿管憩室的病因。这种异常是一种罕见的发现,通常在影像学评估时偶然发现。偶尔,憩室内会检测到结石。

病例报告

我们报告一例24岁男性膀胱脐尿管憩室伴结石病例,通过多排螺旋计算机断层扫描诊断,并经手术及组织病理学证实。

结论

在腹壁和泌尿系统异常的影像学鉴别诊断中,尤其是有症状的患者,考虑脐尿管异常很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d7/4927143/a246a637f70b/poljradiol-81-301-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d7/4927143/a246a637f70b/poljradiol-81-301-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d7/4927143/a246a637f70b/poljradiol-81-301-g001.jpg

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本文引用的文献

1
Urachal carcinoma: imaging findings.脐尿管癌:影像学表现
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2
CT urography of a vesicourachal diverticulum containing calculi.CT 尿路造影显示含有结石的膀胱输尿管憩室。
Diagn Interv Radiol. 2010 Mar;16(1):56-8. doi: 10.4261/1305-3825.DIR.1798-08.1. Epub 2009 Oct 19.
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Best cases from the AFIP: urachal carcinoma.武装部队病理研究所的最佳病例:脐尿管癌。
Radiographics. 2009 May-Jun;29(3):939-42. doi: 10.1148/rg.293085152.
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A rare case of urachovesical calculus: a diagnostic dilemma and endo-laparoscopic management.一例罕见的脐尿管膀胱结石:诊断困境与内镜-腹腔镜治疗
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Urachal remnant diseases: spectrum of CT and US findings.脐尿管残余疾病:CT与超声表现谱
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Vesicourachal diverticulum: CT diagnosis in two adults.膀胱脐尿管憩室:两名成年人的CT诊断
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