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脐尿管囊肿内出血表现为“急腹症”。

Haemorrhage into a urachal cyst presenting as an 'acute abdomen'.

作者信息

Davidson B R, Brown N J, Neoptolemos J P

机构信息

Department of Surgery, Leicester Royal Infirmary, UK.

出版信息

Postgrad Med J. 1987 Jun;63(740):493-4. doi: 10.1136/pgmj.63.740.493.

Abstract

A previously well 3 year old Asian girl presented as an emergency with the acute onset of generalized abdominal pain. On examination her abdomen was distended with generalized tenderness and guarding most marked centrally. Under anaesthesia a central abdominal mass arising from the pelvis was palpated which on proceeding to laparotomy was found to be a blood-filled urachal cyst. This was excised and her recovery was uneventful. Subsequent investigations have revealed no associated renal tract abnormalities.

摘要

一名此前健康的3岁亚洲女孩因突发全腹疼痛而急诊入院。检查发现她的腹部膨隆,全腹压痛伴肌紧张,以中腹部最为明显。在麻醉下可触及一个源于盆腔的中腹部肿块,剖腹探查发现是一个充满血液的脐尿管囊肿。该囊肿被切除,她恢复顺利。后续检查未发现相关的泌尿系统异常。

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本文引用的文献

1
Ruptured urachal cyst--a rare cause of peritonitis.
Acta Chir Scand. 1982;148(8):699-700.
2
Prostatism, obstructive uropathy and uraemia associated with a urachal cyst.
Br J Urol. 1981 Oct;53(5):482. doi: 10.1111/j.1464-410x.1981.tb03241.x.
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Pyourachus: an unusual surgical problem.
J Pediatr Surg. 1973 Jun;8(3):387-9. doi: 10.1016/0022-3468(73)90107-3.
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Adenocarcinoma of the urachus.
J Urol. 1978 Jan;119(1):68-71. doi: 10.1016/s0022-5347(17)57386-3.

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