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既往闭合脐尿管感染酷似恶性肿瘤:一例报告及影像学诊断结果的文献综述

Infection of Previously Closed Urachus Mimicking Malignancy: A Case Report and Literature Review of Radiological Findings to the Diagnosis.

作者信息

Lam Siu W, Linsen Philip Vm, Elgersma Otto E

机构信息

Department of Radiology, Albert Schweitzer Hospital, Dordrecht, The Netherlands.

Department of Radiology, Erasmus University Medical Center, Rotterdam, The Netherlands.

出版信息

Clin Med Insights Case Rep. 2019 Apr 18;12:1179547619843836. doi: 10.1177/1179547619843836. eCollection 2019.

DOI:10.1177/1179547619843836
PMID:31037039
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6475833/
Abstract

The urachus is a vestigial structure of the allantois and cloaca. It involutes as fetal development progresses to become a fibrous cord, which courses between the umbilicus and bladder dome within the retropubic space. Infection occasionally occurs in patients with congenital patent urachus. Here, we report a patient with infection of a previously closed urachal tract presenting as an abdominal mass. This has rarely been described in the literature. Current knowledge on imaging findings to the diagnosis is discussed.

摘要

脐尿管是尿囊和泄殖腔的残余结构。随着胎儿发育进展,它逐渐退化形成一条纤维索,该纤维索在耻骨后间隙内沿脐与膀胱顶部之间走行。先天性脐尿管未闭的患者偶尔会发生感染。在此,我们报告一例既往已闭合的脐尿管发生感染并表现为腹部肿块的患者。这种情况在文献中鲜有描述。本文讨论了目前关于诊断的影像学表现的知识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7880/6475833/11397b9563a8/10.1177_1179547619843836-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7880/6475833/89c027d9d37f/10.1177_1179547619843836-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7880/6475833/7816b80c7219/10.1177_1179547619843836-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7880/6475833/11397b9563a8/10.1177_1179547619843836-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7880/6475833/89c027d9d37f/10.1177_1179547619843836-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7880/6475833/7816b80c7219/10.1177_1179547619843836-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7880/6475833/11397b9563a8/10.1177_1179547619843836-fig3.jpg

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Infection of Previously Closed Urachus Mimicking Malignancy: A Case Report and Literature Review of Radiological Findings to the Diagnosis.既往闭合脐尿管感染酷似恶性肿瘤:一例报告及影像学诊断结果的文献综述
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Cureus. 2022 Nov 12;14(11):e31417. doi: 10.7759/cureus.31417. eCollection 2022 Nov.
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Concurrent urachal abscess and florid cystitis glandularis masquerading as malignancy: a case report and literature review.同时并发脐尿管脓肿和滤泡性膀胱炎伪装为恶性肿瘤:病例报告及文献复习。
BMC Surg. 2022 Mar 21;22(1):105. doi: 10.1186/s12893-021-01430-w.

本文引用的文献

1
Urachal adenocarcinoma: a rare case report.脐尿管腺癌:一例罕见病例报告。
Radiol Case Rep. 2016 Dec 1;12(1):65-69. doi: 10.1016/j.radcr.2016.10.019. eCollection 2017 Mar.
2
Malignant urachal neoplasms: A population-based study and systematic review of literature.恶性脐尿管肿瘤:一项基于人群的研究及文献系统综述
Urol Oncol. 2017 Jan;35(1):33.e11-33.e19. doi: 10.1016/j.urolonc.2016.07.021. Epub 2016 Sep 1.
3
Clinical, prognostic, and therapeutic aspects of urachal carcinoma-A comprehensive review with meta-analysis of 1,010 cases.
脐尿管癌的临床、预后及治疗方面——1010例病例的综合综述与荟萃分析
Urol Oncol. 2016 Sep;34(9):388-98. doi: 10.1016/j.urolonc.2016.04.012. Epub 2016 Jun 3.
4
Urachal abscess precipitated as acute pyelonephritis in an adult patient with diabetes.脐尿管脓肿在一名成年糖尿病患者中引发了急性肾盂肾炎。
Korean J Intern Med. 2016 Jul;31(4):798-801. doi: 10.3904/kjim.2014.376. Epub 2016 Jan 28.
5
A rare case of urachal mucinous adenocarcinoma detected by 18F-FDG PET/CT.18F-FDG PET/CT 检测到罕见的脐尿管黏液性腺癌病例。
Clin Nucl Med. 2015 Mar;40(3):282-5. doi: 10.1097/RLU.0000000000000674.
6
Complex mucinous cystadenoma of undetermined malignant potential of the urachus: a rare case with review of the literature.脐尿管未确定恶性潜能的复杂黏液性囊腺瘤:1例罕见病例并文献复习
Malays J Pathol. 2014 Aug;36(2):145-8.
7
18FDG PET/CT findings in the unusual urachal adenocarcinoma.18FDG PET/CT 检查在罕见脐尿管腺癌中的表现。
Clin Nucl Med. 2014 Sep;39(9):831-4. doi: 10.1097/RLU.0000000000000393.
8
Organized urachal abscess mimicking urachal carcinoma on FDG PET/CT.FDG PET/CT 上表现为脐尿管脓肿的类脐尿管癌。
Clin Nucl Med. 2014 Jan;39(1):71-3. doi: 10.1097/RLU.0b013e31827a263e.
9
Preoperative accuracy of diagnostic evaluation of the urachal mass.脐尿管肿块的术前诊断评估准确性。
J Urol. 2013 Apr;189(4):1260-2. doi: 10.1016/j.juro.2012.10.043. Epub 2012 Oct 23.
10
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.