Corsello Jenalee, Morris Mariah, Denning David, Munie Semeret
Department of General Surgery, 4034Marshall University, Huntington, WV, USA.
4034Marshall University School of Medicine, Huntington, WV, USA.
Am Surg. 2022 May;88(5):997-999. doi: 10.1177/00031348211060434. Epub 2021 Dec 6.
The urachus is a remnant of the allantois. Failure to obliterate can result in one of four anomalies, urachal cyst being most common. Urachal cysts are relatively rare, especially in adults. This paper presents a patient with an umbilical hernia and a ruptured urachal cyst. A 39-year-old male presented with concern for umbilical hernia, but he also noted drainage. Computed tomography scan showed a urachal cyst and umbilical hernia. The urachal cyst was excised and umbilical hernia closed primarily. The incidence of an urachal cyst is unknown, but persists in roughly 2% of adults. Diagnosis is with ultrasound or CT scan. Management is excision due to risk of urachal carcinoma, which is present in over 50% of specimens. Review of literature did not reveal any other cases of a patient with both an urachal cyst and an umbilical hernia, thus making this case a unique presentation for this condition.
脐尿管是尿囊的遗迹。未能闭锁可导致四种异常之一，其中脐尿管囊肿最为常见。脐尿管囊肿相对罕见，尤其是在成年人中。本文介绍了一名患有脐疝和破裂脐尿管囊肿的患者。一名39岁男性因脐疝前来就诊，但他也注意到有渗液。计算机断层扫描显示有脐尿管囊肿和脐疝。切除了脐尿管囊肿并一期缝合了脐疝。脐尿管囊肿的发病率尚不清楚，但在大约2%的成年人中持续存在。通过超声或CT扫描进行诊断。由于存在超过50%的标本有脐尿管癌风险，故采取切除治疗。文献回顾未发现其他同时患有脐尿管囊肿和脐疝的病例，因此该病例是这种情况的独特表现。
