Title |
Laparoskopinė urachus cistų ir sinuso šalinimo operacija: du klinikiniai atvejai ir literatūros apžvalga / |
Translation of Title |
Laparoscopic excision of urachal cysts and sinus: report of two casesand review of the literature. |
Authors |
Žalimas, Algirdas ; Gradauskas, Audrius ; Narmontas, Deividas ; Štarolis, Edmundas ; Selickaja, Sandra |
DOI |
10.15388/LietChirur.2012.3.2863 |
Full Text |
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Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2012, t. 11, Nr. 3-4, p. 93-100.. ISSN 1392-0995. eISSN 1648-9942 |
Keywords [eng] |
urachal cyst ; urachal sinus ; excision ; laparoscopic surgery |
Abstract [eng] |
IntroductionUrachal abnormalities are rare. Usually, they are incidental findings and remain asymptomatic unless a complication (most commonly infection) occurs. A complicated urachal anomaly needs to be removed. We introduce two successful case reports, according to our data the first laparoscopic urachal remnant excision in Lithuania. Cases presentationIn the first case, 55-year-old female patient presented with a two-month history of dysuria. Abdominal ultrasonography misdiagnosed the right ovarian cyst. Diagnostic laparoscopy and pelvic computer tomography showed an urachal cyst. In the second case, a 22-year-old female patient presented with a ten-day history of abdominal pain and umbilical discharge. Abdominal ultrasonography showed two cysts (the first cyst was found near the urinary bladder and the second cyst was connected with the umbilicus) under the anterior abdominal wall. According to clinical symptoms and ultrasound findings, urachus sinus and cyst were diagnosed. Laparoscopic urachal anomaly excision operations were performed to both patients.ConclusionsLaparoscopy is an effective and safe minimally invasive technique in the management of urachal anomalies. Open surgical excision has been the treatment of choice for many years, but the laparoscopic approach has become an attractive alterna-tive because of less postoperative pain, better cosmetics, and rapid convalescence. |
Published |
Vilnius : Vilniaus universiteto leidykla |
Type |
Journal article |
Language |
Lithuanian |
Publication date |
2012 |
CC license |
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