Pereira Ryan, McGeorge Stephen, Perera Marlon, Vela Ian
Urology, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
Urology, Toowoomba Hospital, Queensland, Australia.
BMJ Case Rep. 2019 Jan 22;12(1):e228089. doi: 10.1136/bcr-2018-228089.
A 57-year-old man presented with a 6-month history of pelvic fullness. He had no lower urinary tract symptoms or altered bowel habits. On examination, there was a non-tender pelvic mass which extended from the pubic symphysis to the level of the umbilicus. CT scan of the abdomen demonstrated a 22×11×11 cm cystic mass arising from the pelvis extending into the midline and superiorly to the umbilicus. Other than raised carcinoembryonic antigen of 7.6 ng/mL (<5.0), the remainder of his blood test were unremarkable. Flexible cystoscopy demonstrated a convex deformity of the bladder wall in keeping with the compression and displacement as seen on the CT. The patient underwent an open excision of the cystic structure (urachal remnant), partial cystectomy, partial excision of anterior abdominal wall and pelvic lymphadenectomy. A check cystogram performed 12 days following the initial operation was unremarkable.
一名57岁男性，有6个月盆腔坠胀感病史。他没有下尿路症状或排便习惯改变。检查时，发现一个无压痛的盆腔肿块，从耻骨联合延伸至脐部水平。腹部CT扫描显示一个22×11×11厘米的囊性肿块，起源于盆腔，延伸至中线并向上至脐部。除癌胚抗原升高至7.6纳克/毫升（<5.0）外，其余血液检查均无异常。软性膀胱镜检查显示膀胱壁有凸形畸形，与CT所见的压迫和移位相符。患者接受了囊性结构（脐尿管残余物）的开放性切除、部分膀胱切除术、前腹壁部分切除术和盆腔淋巴结清扫术。初次手术后12天进行的膀胱造影检查无异常。
