Tasa Anadi S, Dey Sandeep, Dutta Suren, Gogoi Dhrubajit, Bora Bikash
Surgery, Jorhat Medical College and Hospital, Jorhat, IND.
Anaesthesiology, Jorhat Medical College and Hospital, Jorhat, IND.
Cureus. 2022 Jan 10;14(1):e21092. doi: 10.7759/cureus.21092. eCollection 2022 Jan.
A 41-year-old woman presented to the emergency department with pain in her abdomen during menstruation. On examination, we detected a cystic lump in the midline, just below the umbilicus. Ultrasonography of the whole abdomen was suggestive of uterine fibroids with a probable mesenteric cyst. Computed tomography of the abdomen confirmed an otherwise asymptomatic, silent, urachal cyst connected to the umbilicus and urinary bladder by obliterated bands. The cyst was explored and removed surgically under combined spinal-epidural anesthesia, following a single-staged approach. A total abdominal hysterectomy with bilateral salpingo-oophorectomy was subsequently performed. Urachal cysts are rare congenital anomalies. Any unexpected finding on clinical examination should alert clinicians for further evaluation and treatment.
一名41岁女性因月经期间腹部疼痛前往急诊科就诊。检查时，我们在脐下中线处发现一个囊性肿块。全腹超声检查提示子宫肌瘤，可能合并肠系膜囊肿。腹部计算机断层扫描证实存在一个无症状、隐匿的脐尿管囊肿，通过闭锁带与脐部和膀胱相连。在蛛网膜下腔-硬膜外联合麻醉下，采用单阶段手术方法对囊肿进行探查并切除。随后进行了全腹子宫切除术及双侧输卵管卵巢切除术。脐尿管囊肿是罕见的先天性异常。临床检查中任何意外发现都应提醒临床医生进行进一步评估和治疗。
