脐尿管囊肿脓肿导致的小肠梗阻：一项易与侵袭性脐尿管癌混淆的诊断挑战——病例报告

Small bowel obstruction from urachal cyst abscess: a diagnostic challenge easily confused with invasive urachal cancer-A case report.

作者信息

Ly Tung Minh, Bui Hau Minh Hong, Bui Phuoc Thanh, Ly Nguyen

机构信息

Faculty of Medicine, University of Health Sciences, Viet Nam National University Ho Chi Minh City, Administrative Building YA1, Hai Thuong Lan Ong Street, VNU-HCM Urban Area, Dong Hoa Ward, Di An City, Binh Duong Province, Vietnam.

Department of Gastrointestinal Surgery, Binh Dan Hospital, 371 Dien Bien Phu Street, Ward 4, District 3, Ho Chi Minh City, Vietnam.

出版信息

J Med Case Rep. 2025 May 20;19(1):240. doi: 10.1186/s13256-025-05265-4.

DOI:10.1186/s13256-025-05265-4

PMID:40394638

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12090543/

Abstract

OVERVIEW

Urachal cysts, though rare, can become infected or undergo malignant transformation. A rare case of small bowel obstruction caused by an infected urachal cyst is presented, which can be misdiagnosed as invasive urachal cancer.

CASE PRESENTATION

A 31-year-old Vietnamese female presented with a 1-week history of abdominal pain and 3 days of obstipation, with no significant medical or surgical history. Her clinical examination indicated sepsis and small bowel obstruction. Imaging revealed a cystic urachal mass invading the abdominal wall and small intestine, causing obstruction. Emergency surgery confirmed bowel obstruction and perforation due to the mass. Postoperative histopathology revealed an abscessed urachal cyst with no malignancy.

CONCLUSION

Complicated urachal cyst infections are challenging to diagnose and can be mistaken for malignancy. This is a rare cause of bowel obstruction in a patient without prior surgery or other preexisting conditions.

摘要