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Familial Urachal Sinus Associated with a Possible Congenital Malformation: Report of a Case
Authors:Kubota  Keisuke  Nomura  Sachiyo  Kawahara  Masaki  Kaminishi  Michio
Affiliation:(1) Department of Gastrointestinal Surgery, The University of Tokyo, 3-28-6 Mejirodai, Bunkyo-ku, Tokyo 112-8688, Japan, JP
Abstract:
We report a rare case of familial urachal disease associated with a congenital malformation. A 34-year-old woman was referred to our hospital with recurrent umbilical purulent discharge. She had undergone partial resection of the small intestine for obstruction and, later, a pyeloplasty for a stricture of the ureter-pyelo junction. Her younger brother had also undergone surgery for a urachal sinus 1 year earlier. She was found to have an umbilical granuloma with a fistulous track that could be probed for 3 cm distally. Computed tomography (CT) and ultrasonography confirmed the fistulous track. Under a diagnosis of urachal sinus, a urachal remnant was excised. Histological analysis of the excised specimen revealed only inflammatory granulomatous tissue with marked infiltration of lymphocytes and foreign body giant cells. Urachal cysts are associated with a risk of intestinal strangulation and therefore, the finding of urachal disease justifies detailed evaluation. Received: October 10, 2001 / Accepted: September 3, 2002 Reprint requests to: K. Kubota
Keywords:Urachal cyst  Bowel obstruction  Congenital malformation  Familial presentation
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