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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.

DOI:10.7759/cureus.64471
PMID:39135822
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11318724/
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/11318724/3445cdaac4bb/cureus-0016-00000064471-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2b/11318724/4e218113aa93/cureus-0016-00000064471-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2b/11318724/b84cc8598c2e/cureus-0016-00000064471-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2b/11318724/aa68b9ea43b6/cureus-0016-00000064471-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2b/11318724/c4602c01e582/cureus-0016-00000064471-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2b/11318724/816a6b30cd86/cureus-0016-00000064471-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2b/11318724/3445cdaac4bb/cureus-0016-00000064471-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2b/11318724/4e218113aa93/cureus-0016-00000064471-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2b/11318724/b84cc8598c2e/cureus-0016-00000064471-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2b/11318724/aa68b9ea43b6/cureus-0016-00000064471-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2b/11318724/c4602c01e582/cureus-0016-00000064471-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2b/11318724/816a6b30cd86/cureus-0016-00000064471-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2b/11318724/3445cdaac4bb/cureus-0016-00000064471-i06.jpg

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本文引用的文献

1
Management of urachal anomalies in pediatric patients: A comparison of treatment strategies between pediatric urology and general surgery.小儿患者脐尿管异常的管理：小儿泌尿外科与普通外科治疗策略的比较。
J Pediatr Urol. 2024 Feb;20(1):75.e1-75.e8. doi: 10.1016/j.jpurol.2023.09.013. Epub 2023 Sep 22.
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Urachal adenocarcinoma: A case report and review of the literature.脐尿管腺癌：一例病例报告并文献复习。
J Cancer Res Ther. 2022 Jan-Mar;18(1):291-293. doi: 10.4103/jcrt.JCRT_28_20.
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Case of Infected Urachal Cyst in an Adult Presenting as an Incarcerated Umbilical Hernia.
一例表现为嵌顿性脐疝的成人感染性脐尿管囊肿病例。
Am Surg. 2022 May;88(5):997-999. doi: 10.1177/00031348211060434. Epub 2021 Dec 6.
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Surgical management of urachal tumors: Can the umbilicus be sparred in localized disease?脐尿管肿瘤的手术治疗：局限性疾病能否保留脐部？
Rare Tumors. 2019 May 3;11:2036361319847283. doi: 10.1177/2036361319847283. eCollection 2019.
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Surgical management for an infected urachal cyst in an adult: Case report and literature review.成人感染性脐尿管囊肿的手术治疗：病例报告及文献综述
Int J Surg Case Rep. 2019;57:130-133. doi: 10.1016/j.ijscr.2019.03.041. Epub 2019 Mar 30.
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Umbilicus-sparing laparoscopic versus open approach for treating symptomatic urachal remnants in adults.成人有症状脐尿管残余物的脐部保留腹腔镜与开放手术治疗方法对比
Medicine (Baltimore). 2018 Jun;97(26):e11043. doi: 10.1097/MD.0000000000011043.
7
Imaging of the Urachus: Anomalies, Complications, and Mimics.脐尿管的影像学检查：异常、并发症及类似疾病
Radiographics. 2016 Nov-Dec;36(7):2049-2063. doi: 10.1148/rg.2016160062.
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A comprehensive review of pediatric urachal anomalies and predictive analysis for adult urachal adenocarcinoma.小儿脐尿管异常的综合回顾及成人脐尿管腺癌的预测分析。
J Urol. 2015 Feb;193(2):632-6. doi: 10.1016/j.juro.2014.09.004. Epub 2014 Sep 16.
9
Laparoscopic management of symptomatic urachal remnants in adulthood.成人有症状脐尿管残余物的腹腔镜治疗
Asian J Surg. 2015 Apr;38(2):85-90. doi: 10.1016/j.asjsur.2014.04.009. Epub 2014 Jun 16.
10
Clinical presentation and urachal remnant pathology: implications for treatment.临床表现与脐尿管残余病变：对治疗的启示
J Urol. 2009 Oct;182(4 Suppl):1921-4. doi: 10.1016/j.juro.2009.03.026. Epub 2009 Aug 20.