Tanguturi Yella Viswarupachari, Tanguturi Yella Sree Sudha, Kota Krishna Sasanka, Tanguturi Yella Sri Hari, Thangaraju Pugazhenthan
General Surgery, Santhiram Medical College and General Hospital, Nandyal, IND.
Pharmacology, All India Institute of Medical Sciences, Deoghar, IND.
Cureus. 2023 Jul 7;15(7):e41503. doi: 10.7759/cureus.41503. eCollection 2023 Jul.
Rare developmental anomalies known as urachal remnants are brought on by flaws in the foetal developmental process. However, depending on the location and degree of incomplete obliteration, the urachus can undergo a variety of urachal anomalies. An umbilical fistulogram and a voiding cystourethrogram both supported the existence of the adult urachal cyst in this case. To treat the sepsis, we provided the patient with antibiotics first, then a surgical procedure. The entire vesico-umbilical tract with the urachal cyst was removed using the open approach. The excised specimen's histology revealed a foreign body giant cell reaction without any indication of malignancy. The presentation and diagnosis of vesico-umbilical urinary fistula (VUUF) in adults can occasionally be difficult. They happen very rarely. So we began putting forward this case for the same reason.
一种称为脐尿管残余的罕见发育异常是由胎儿发育过程中的缺陷引起的。然而，根据不完全闭锁的位置和程度，脐尿管可能会出现多种脐尿管异常。在这个病例中，脐部瘘管造影和排尿性膀胱尿道造影均证实了成人脐尿管囊肿的存在。为了治疗败血症，我们首先给患者使用了抗生素，然后进行了手术。采用开放手术方法切除了整个包含脐尿管囊肿的膀胱-脐部管道。切除标本的组织学检查显示有异物巨细胞反应，未发现任何恶性迹象。成人膀胱-脐部尿瘘（VUUF）的表现和诊断有时可能很困难。它们非常罕见。所以我们出于同样的原因提出了这个病例。
