Kudra Danial Aghyad, Sankari Tarabishi Ahmad, Aldakhil Ahmad, Alzahran Ayham, Najjar Omar, Ayoub Kusay
Department of Surgery, Aleppo University Hospital.
University of Aleppo, Faculty of Medicine.
J Surg Case Rep. 2019 May 23;2019(5):rjz156. doi: 10.1093/jscr/rjz156. eCollection 2019 May.
The urachus is an embryonic tube that connects the upper portion of the bladder to the umbilicus, and obliterates normally during embryonic development stages forming the median umbilical ligament. Incomplete obliteration of this tube results in many anomalies such as congenital patent urachus, umbilical urachal sinus, vesicourachal diverticulum and urachal cyst. We report in this case a 5-year-old female presented to the Emergency, complaining of generalized abdominal pain, fever, vomiting, and constipation with no umbilical discharge. The clinical presentation accompanied by radiology investigations suggested a case of acute abdomen. We performed an exploratory laparotomy and found a mass above the bladder connected to the umbilicus; we excised the mass and sent a specimen to pathology that confirmed Urachal cyst. Urachal cyst is usually asymptomatic unless it is complicated; depending on our case, we recommend surgical management by complete excision for complicated urachal cyst.
脐尿管是一条连接膀胱上部与脐部的胚胎管道，在胚胎发育阶段通常会闭锁，形成脐正中韧带。该管道未完全闭锁会导致多种异常情况，如先天性脐尿管未闭、脐尿管窦、膀胱脐尿管憩室和脐尿管囊肿。我们在此报告一例5岁女性急诊病例，患者主诉全腹疼痛、发热、呕吐及便秘，无脐部渗液。临床表现及影像学检查提示为急腹症。我们进行了剖腹探查术，发现膀胱上方有一肿物与脐部相连；我们切除了肿物并将标本送检病理，结果证实为脐尿管囊肿。脐尿管囊肿通常无症状，除非发生并发症；根据我们的病例，对于并发的脐尿管囊肿，我们建议通过完整切除进行手术治疗。
