共查询到20条相似文献,搜索用时 15 毫秒
1.
Takashige Abe Yuichiro Shinno Koichi Kawakura and Kimihiko Moriya 《International journal of urology》2000,7(2):69-71
A patient with a müllerian duct cyst, which caused acute renal failure secondary to urinary retention, is reported. The case was treated successfully by transurethral unroofing of the cyst. 相似文献
2.
A 36-year-old man presented with a pelvic mass which proved to be a Müllerian duct cyst. The cyst was determined to be squamous cell carcinoma which involved the rectum and the bladder. A total pelvic exenteration was carried out for complete resection. 相似文献
3.
Minoru Iwasaki Kaoru Taira Hisato Kobayashi Tatsuyoshi Saiga 《Journal of pediatric surgery》2009,(12):2399-2401
An umbilical cyst originating from an omphalomesenteric duct remnant is extremely rare, and to the best of our knowledge, it has scarcely been reported in medical literature. We present ultrasonographic manifestations and computed tomographic findings of an umbilical cyst originating from an omphalomesenteric duct remnant in a 6-year-old girl. In cases of umbilical cyst, radiographic evaluation alone may not differentiate an omphalomesenteric duct remnant with heterotopic gastric mucosa from a urachal remnant, and surgical intervention is required. 相似文献
4.
Fragulidis GP Marinis AD Anastasopoulos GV Vasilikostas GK Koutoulidis V 《Journal of Hepato-Biliary-Pancreatic Surgery》2007,14(2):194-196
A case of a ruptured bile duct cyst in a 25-year-old male patient is presented. The initial management of the clinical presentation
of acute abdomen consisted of an exploratory laparotomy and a T-tube cystostomy of a choledochal cyst. Two months later, he
was admitted to our surgical department. Preoperative evaluation showed a type IV-A choledochal cyst. The patient underwent
excision of the choledochal cyst, cholecystectomy, and the construction of a Roux-en-Y end-to-side hepaticojejunostomy. 相似文献
5.
Persistent müllerian duct syndrome (PMDS) is usually a surprise finding either during orchidopexy or during routine inguinal
hernia repair in male patients. Often, the surgeon would face a dilemma about what is to be done with the remnants of müllerian
duct, i.e. the fallopian tubes, uterus and proximal vagina. Till recently, it was advised to retain these structures whenever
it was felt that the complete excision of these structures may jeopardise the blood supply and integrity of the vas deferens.
Recent reports of malignancy in these retained structures would justify more aggressive approach. In our patients with PMDS,
we have removed the mucosa of the retained müllerian structures, without compromising the integrity and vascularity of the
vas deferens, thus reducing the chances of malignancy. 相似文献
6.
患者女,47岁,因颈部微痛3天就诊,否认近日患上呼吸道感染及甲状腺疾病史。查体:体温正常,颈部无红肿,未扪及明显包块,颈部正中及稍偏左、偏右均有轻压痛。常规超声:双侧甲状腺大小、形态正常,实质回声均匀。CDFI:甲状腺内未见异常血流信号。沿峡部向上方扫查, 相似文献
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Binsaleh S Al-Assiri M Jednak R El-Sherbiny M 《International urology and nephrology》2007,39(2):485-487
We present two patients with Gartner’s duct cyst managed with simple marsupialization and successful long-term follow up. 相似文献
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Pueyo C Royo Y Maldonado J Skrabski R Gris F Landeyro J Bardají C 《Journal of pediatric surgery》2008,43(4):748-750
Thyroglossal duct cysts are one of the most common congenital cervical pathologic findings in children. This type of cyst can be located anywhere between the base of the tongue and the sternal manubrium. We report the case of a patient with a double thyroglossal cyst, one located in the hyoid region and the other in the thyroid gland. The 2 cysts were connected by a permeable tract, which confirms that an involution failure of the embryonic remains of the thyroglossal duct was responsible for the development of the cyst. Intrathyroid cysts of the thyroglossal duct, though uncommon, should be included in the differential diagnosis of thyroid cysts in children. 相似文献
11.
Bile duct cancer developed after cyst excision for choledochal cyst 总被引:20,自引:0,他引:20
Yasuhiro Watanabe Akira Toki Takuji Todani 《Journal of Hepato-Biliary-Pancreatic Surgery》1999,6(3):207-212
Oncogenesis after cyst excision for choledochal cyst and suitable surgical procedures for this operation are discussed. The
clinical data of 23 patients with cancer of the biliary tree after excision of choledochal cyst reported in the English-language
and Japanese literature were reviewed, and data for 1353 Japanese patients with choledochal cyst and/or pancreaticobiliary
malunion were analyzed. In the 23 patients reported in the literature, age at cyst excision ranged from 1 to 55 years (average,
23.0 ± 13.7 years), and cancers were detected at age 18–60 years (average, 32.1 ± 12.2 years), with intervals between cyst
excision and cancer detection of 1–19 years (average, 9.0 ± 5.5 years). Sites of cancer development were: intrahepatic, six;
anastomotic, eight; hepatic side residual cyst, three; and the intrapancreatic duct, six. In the Japanese patients with choledochal
cyst and/or pancreaticobiliary malunion, the incidence of cancer associated with primary choledochal cyst and/or pancreaticobiliary
malunion was 16.2% (219/1353). The incidence of cancer development after cyst excision in this population, of whom 1291/1353
underwent surgery, was assumed to be 0.7%. Nearly half of the 23 patients in the literature had undergone inadequate cyst
excision. Oncogenesis of cancers after cyst excision is possibly different from that of choledochal cysts.
Received for publication on Feb. 17, 1999; accepted on March 29, 1999 相似文献
12.
C Pappis C Constantinides D Chiotis C Dacou-Voutetakis 《Journal of pediatric surgery》1979,14(2):128-131
Persistent Müllerian duct structures were found in 3 male cryptorchid infants aged 10--12 mo, during correction of a unilateral inguinal hernia. Division of the vas degerens, hysterectomy and scrotal orchidopexy were carried out. The authors believe that in subjects with a persistent müllerian duct syndrome, surgical placement of the testes into the scrotum should be performed. This is, as a rule, not possible without damage to the vas deferens which runs parallel and adheres closely to the surface of the uterus. 相似文献
13.
Tireli GA Sander S Dervisoglu S Demirali O Unal M 《Journal of Hepato-Biliary-Pancreatic Surgery》2005,12(3):263-265
Embryonal rhabdomyosarcoma of the common bile duct is a very rare malignancy of childhood. The radiological appearance of the lesion is similar to that of congenital choledochal cyst if there is no local invasion to the adjacent tissues. The authors present a case of embryonal rhabdomyosarcoma of the common bile duct which was considered to be a congenital choledochal cyst preoperatively, and they discuss this very rare childhood tumor, with a brief survey of the literature. In conclusion, it is important to know that this rare tumor can simulate congenital choledochal cyst; it should be considered in the differential diagnosis of obstructive jaundice in children. 相似文献
14.
John D. Dortch Dustin Eck Albert G. Hakaim John D. Casler 《International journal of surgery case reports》2014,5(12):1028-1030
INTRODUCTION
Cervical thoracic duct cyst (CTDC) is a rare cause of lateral neck mass. Surgical excision with ligation of the cervical thoracic duct is the current standard for definitive management with symptomatic patients. We report the first case of an alternative method of management performing a cyst venous anastomosis for decompression.PRESENTATION OF CASE
A 77 year old female presented with a six month history of left arm pain, swelling and a left-sided cystic neck mass. She was treated with cyst-venous anastomosis between the cyst wall and the left internal jugular vein. At two year follow-up, she has had resolution of pain and no recurrence of the mass.DISCUSSION
Many potential etiologies have been proposed for CTDC, though surgical management of this rare problem has consistently required cyst excision and thoracic duct ligation. Few innovative modes of therapy have been developed to address this problem in a less invasive manor. Maintaining a more natural thoracic duct anatomy decreases the likely of complications associated with duct ligation.CONCLUSION
Cyst-venous anastomosis for the management of CTDC provides an effective, novel form of treatment which maintains the integrity of the thoracic duct and avoids potential complications associated with duct ligation. 相似文献15.
This case report describes a unique variant of a duodenal duplication cyst in an 8-year-old boy who had recurrent episodes of upper abdominal pain. Imaging revealed a stone-containing cyst near the biliaropancreatic ducts and concomitant hydrops of the gallbladder. Open transduodenal marsupialization of the cyst and resection of the inflamed gallbladder were performed. Further episodes of pancreatitis did not occur for a follow-up of 2 years. 相似文献
16.
Collecting duct carcinoma is a rare type of renal cell carcinoma. It is usually diagnosed pathologically and carries a poor prognosis. Renal cell carcinoma arising within a cyst is also rare. We report a case of collecting duct carcinoma presenting as a giant, bleeding complicated renal cyst with minimal solid component. The patient had a relatively long survival after nephrectomy. 相似文献
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先天性胆管囊肿癌变的诊断与治疗 总被引:12,自引:0,他引:12
目的探讨先天性胆管囊肿癌变的诊断与治疗方法。方法回顾性分析1993年—2004年解放军总医院收治的185例先天性胆管囊肿患者的临床及病理资料。结果185例中合并癌变27例,癌变率为14.6%。先天性胆管囊肿癌变与年龄密切相关(P<0.001),各年龄段癌变率分别为:0~9岁为0%,10~19岁5.1%,20~29岁9.1%,30~39岁16.2%,40~49岁26.7%,50~59岁33.3%,≥60岁50%。6例有胆肠内引流手术史。临床主要表现为上腹疼痛、发热、黄疸和体重下降。诊断方法包括腹部超声、CT、MRI和经内镜逆行胰胆管造影,术前确诊20例,但早期诊断困难。获得根治性切除9例(33.3%)。结论先天性胆管囊肿是一种癌前病变,随年龄增长癌变率急剧增加。儿童期实施完全性囊肿切除是预防胆管囊肿癌变的最有效方法。胆管囊肿癌变病例预后不佳。 相似文献
20.
Alexandros Karajiannis Thorsten Krueger Eduard Stauffer Hans-Beat Ris 《European journal of cardio-thoracic surgery》2000,17(6):754-756
Large thoracic duct cysts are rare and standard lateral thoracotomy is usually used for resection. In the reported case the combination of an antero-lateral thoracotomy with a partial longitudinal median sternotomy (hemiclamshell approach) allowed an excellent visualization and dissection of a large thoracic duct cyst expanding in the anterior cervico-thoracic junction, and was associated with an uncomplicated recovery. 相似文献