A Urachal Cyst Case with Painful Mass Locates at Ileal Mesentery

Okur, Selahattin Koray; Pülat, Hüseyin; Karaköse, Oktay; Zihni, İsmail; Özçelik, Kazım Çağlar; Eroğlu, Hasan Erol

doi:10.1155/2015/240362

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…[ 4 ] Korea M 58 Lower abdominal pain and urinary frequency No X-ray, US, CT Surgical excision, laparoscopically Urachal cyst containing large stones 2015 Okur et al . [ 5 ] Turkey F 17 Periumbilical pain No US, CT Surgical excision mini laparotomy Simple urachal cyst 2015 Kidger et al . [ 6 ] UK M 30 No CT, cystoscopy Cystectomy Simple urachal cyst found incidentally after cystectomy 2010 Long and Lang [ 7 ] USA M 47 No CT Not specified Simple noninfected urachal cyst 2001 Yagishita et al .…”

Section: Discussionmentioning

confidence: 99%

Surgical management of benign noninfected urachal cysts in adult patients: two case reports

et al. 2023

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Background Abnormalities of the urachus include the patent urachus, cysts, sinus, and fistula. Each of these entities represents a failure of complete obliteration of the urachus. Contrary to other urachus anomalies, urachal cysts are usually small and silent unless they are infected. The diagnosis is often made during childhood. A benign noninfected urachal cyst discovered in adulthood is a rare condition. Case presentation Herein we report two cases of benign noninfected urachal cysts in adults. The first case is a 26-year-old Tunisian white man who presented with complaints of clear fluid draining from the base of the umbilicus evolving for a week, with no other associated symptoms. The other case was 27-year-old Tunisian white woman who was referred to the surgery department with a history of intermittent draining of clear fluid from the umbilicus. The two cases had laparoscopic resection of urachus cysts. Discussion Laparoscopy represents a good alternative for the management of persistent or infected urachus, especially when this is suspected, despite a lack of radiological evidence. Laparoscopy in the management of urachal cysts is safe, effective, and offers good cosmesis, with all the advantages of a minimally invasive approach. Conclusion Managing persistent and symptomatic urachal anomalies requires a wide surgical excision. Such intervention is recommended to prevent symptom recurrence and complications, most notably malignant degeneration. A laparoscopic approach offers excellent outcomes, and is recommended to treat these abnormalities.

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Section: Discussionmentioning

confidence: 99%

Surgical management of benign noninfected urachal cysts in adult patients: two case reports

et al. 2023

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“…Ashley et al analyzed 130 patients with urachal masses and discovered that the presence of hematuria and age over 55 were the most effective predictors of malignancy. About 66 of the patients had cancer and were surgically treated, but there was no improvement in survival that could be attributed to the surgical technique (partial cystectomy versus radical cystectomy) [ 3 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

Cystoscopy-assisted laparoscopic partial cystectomy for muscle-invasive bladder cancer: Initial experience in Cipto Mangunkusumo Hospital, Jakarta

Hafizar

Hamid

Saraswati

2021

International Journal of Surgery Case Reports

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Introduction We report the experience with patients of urachal adenocarcinoma of the bladder, a rare malignancy in the urinary bladder, treated with laparoscopic partial cystectomy. Aim Solitary transitional cell carcinoma (TCC) of the dome/anterior wall of the bladder in some cases. As compared to radical surgery, partial cystectomy has a lower morbidity rate and similar oncological outcomes. We present our experience with laparoscopic partial cystectomy (LPC) in patients with urachal adenocarcinoma. Case presentation Until being admitted to the hospital, a 60-year-old woman had been suffering from painless, sporadic gross hematuria for the previous year. Her physical examination was undistinguished. Computed tomography revealed an enhancing firmly bordered mass on the anterior-superior aspect of the bladder wall. The patient then underwent cystoscopy and laparoscopic partial cystectomy simultaneously. Conclusion Based on our first experience in LPC, we suggest that cystoscopy assisted LPC is a reasonable and safe procedure with fewer complications and does not extend the operating time. The procedure's effectiveness hinges on the patient's selection. However, many cases needed to emphasize the effectiveness and safety of LPC.

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A Urachal Cyst Case with Painful Mass Locates at Ileal Mesentery

Cited by 2 publications

References 9 publications

Surgical management of benign noninfected urachal cysts in adult patients: two case reports

Surgical management of benign noninfected urachal cysts in adult patients: two case reports

Cystoscopy-assisted laparoscopic partial cystectomy for muscle-invasive bladder cancer: Initial experience in Cipto Mangunkusumo Hospital, Jakarta

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