Department of Ultrasound,affiliated Hospital of Zunyi Medical University, Zunyi, China.
J Pak Med Assoc. 2023 Oct;73(10):2096-2099. doi: 10.47391/JPMA.8437.
A 52 year old woman presented to the emergency department of Affiliated Hospital of Zunyi Medical University, Zunyi, China in May 2022, complaining of a palpable lower abdominal mass since two days. She denied haematuria, umbilical drainage, or any other urinary symptoms. Previous health record indicated that the patient was diagnosed with urachal inflammatory pseudotumour. Inflammatory pseudotumourous masses of the urachal canal are rare chronic inflammatory disorders with only a few case reports. Ultrasonography is the preferred method for diagnosing urachal lesions. Contrast- enhanced ultrasonography (CEUS) allows real-time visualization of the microvascular blood flow within the solid lesion, reducing the probability of misdiagnosis of the disease. We have reported a case of urachal inflammatory pseudotumour and analyzed its ultrasonographic findings from two-dimensional conventional ultrasonography and CEUS to provide support for the diagnosis of urachal inflammatory pseudotumour in the clinic and to assist clinical selection of effective treatment modalities.
一位 52 岁女性因下腹可触及肿块于 2022 年 5 月就诊于遵义医科大学附属医院急诊。患者诉两天前发现下腹可触及一肿块，伴尿频、尿急、尿痛等其他尿路刺激症状。患者既往体健，曾被诊断为脐尿管炎性假瘤。脐尿管炎性假瘤是一种罕见的慢性炎症性疾病，目前仅有少数病例报道。超声检查是诊断脐尿管病变的首选方法。超声造影（CEUS）可实时显示实性病灶内的微血管血流，降低误诊率。本研究报道了 1 例脐尿管炎性假瘤患者，分析二维常规超声及 CEUS 表现，为临床诊断脐尿管炎性假瘤提供依据，并为临床选择有效的治疗方法提供帮助。
