皮下吊り上げ式腹腔鏡下に摘出しえた感染性尿膜管遺残症の１例

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  • Subcutaneous Lifting Laparoscopic Excision for an Infected Urachal Remnant. A Case Report.

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Subcutaneous lifting laparoscopic surgery was successfully performed in the treatment of an urachal remnant. A 23-year-old woman was seen at the hospital because of umbilical pain. At first, she was diagnosed as having omphalitis. Then, she underwent an incision and drainage of the infected site and received antibiotics, however, she had not responded to the treatment. Since an abdominal ultrasonography and abdominal CT scan showed a mass running from the umbilicus in the direction of the bladder, she was again diagnosed as having infected urachal remnant and was admitted for operation.<br> At the operation, the urachus was detected easily, which was divided at the bladder apex and extirpated. The operation time was 130 minutes, and the estimated blood loss was minimal. Her postoperative course was uneventful, and she was discharged from the hospital on the 8th postoperative day.<br> Urachal remnant is comparatively rare and desirable to be excised because it is possible to cause infection and malignancy. This paper presents a case of an infected urachal remnant excised by a subcutaneous lifting laparoscopy, together with some bibliographical comments.

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