Boyle G, Rosenberg H K, O'Neill J
Department of Radiology, Children's Hospital of Philadelphia, PA 19104.
Clin Pediatr (Phila). 1988 Mar;27(3):130-4. doi: 10.1177/000992288802700303.
An infected urachal cyst classically presents with a tender lower midline abdominal mass and systemic signs of infection, including fever, malaise, and leukocytosis. At times, the findings may be clinically confused with those of acute appendicitis, Meckel's diverticulitis, or peritonitis. Sonography aids in differentiating these entities by identifying the localized cystic mass containing debris, located anteriorly in the low mid-abdomen, extending from the region of the bladder to the umbilicus. We present an unusual case of an infected urachal cyst in a 6-year-old boy who presented with lower abdominal pain, fever, intermittent diarrhea, polyuria and dysuria, a firm, fixed left lower quadrant tender mass, and an elevated white blood cell count.
感染性脐尿管囊肿的典型表现为下腹部中线处有压痛性肿块以及感染的全身症状，包括发热、不适和白细胞增多。有时，这些表现可能在临床上与急性阑尾炎、梅克尔憩室炎或腹膜炎的表现相混淆。超声检查有助于通过识别位于下腹部低位前方、从膀胱区域延伸至脐部的含有碎屑的局限性囊性肿块来区分这些疾病。我们报告一例6岁男孩感染性脐尿管囊肿的罕见病例，该患儿表现为下腹痛、发热、间歇性腹泻、多尿和排尿困难、左下腹有一个坚硬、固定的压痛性肿块以及白细胞计数升高。
