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成人有症状的脐尿管未闭的腹腔镜保脐切除术:病例报告及文献复习

Laparoscopic Umbilicus-Sparing Excision of Symptomatic Patent Urachus in Adulthood: Case Report and a Review of the Literature.

作者信息

Varela Barraza Omar, Dávila Legorreta Ernesto, Huerta Hernandez Lucero, Esqueda-Mendoza Antonio, Maldonado Barrios Irma L, Gutiérrez Neri Pérez Mariana, Gutiérrez Brambila Martha E

机构信息

Department of General Surgery, Hospital Regional de Alta Especialidad del Bajío, León, MEX.

Department of Urology, Hospital Regional de Alta Especialidad del Bajío, León, MEX.

出版信息

Cureus. 2024 Jul 13;16(7):e64471. doi: 10.7759/cureus.64471. eCollection 2024 Jul.

Abstract

Urachal abnormalities are infrequent pathologies characterized by the failure of obliteration of the urachal canal, resulting in a persistent fibrous cord. The initial diagnosis approach can be done with ultrasonography; however, computed tomography is considered a standard diagnostic method. The preferred method for relieving symptoms and reducing recurrence is surgical excision. This is a case of a 45-year-old man with recurrent urinary tract infections, suprapubic pain, and umbilical fetid discharge who underwent laparoscopic umbilicus-sparing excision.

摘要

脐尿管异常是一种罕见的病理状况,其特征为脐尿管腔闭塞失败,导致纤维索带持续存在。初步诊断方法可采用超声检查;然而,计算机断层扫描被认为是标准的诊断方法。缓解症状和降低复发率的首选方法是手术切除。这是一例45岁男性患者,有复发性尿路感染、耻骨上疼痛和脐部恶臭分泌物,接受了保留脐部的腹腔镜切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2b/11318724/4e218113aa93/cureus-0016-00000064471-i01.jpg

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