Laparoscopic Excision of an Infected Urachal Cyst in an Adult
Keywords:
Laparoscopic surgery, minimal invasive surgery, umbilicus, urachal cystAbstract
Background and Objective: The infected urachal cyst is rare. We reported here our experience inminimally invasive laparoscopic excision in an adult patient.
Material and Method: A 45-year-old fisherman was referred to the General Surgery Department at
Rayong Hospital. He complained of peri-umbilical pain for two months with brownish yellowish foul-smell
discharge from the umbilicus. We performed laparoscopic surgery using three 5-mm ports at the lateral border
of rectus muscle. The cystic mass was excised together with medial umbilical ligament and removed via the
umbilicus .
Results: The total operative time was 150 minutes and the blood loss was minimal with no operative
complications. Length of hospital stay was seven days. The pain score was 2-5. Pathology result showed a
urachal cyst with chronic inflammation.
Conclusion: Laparoscopic excision of infected urachal cyst can be performed with good outcome with
minimal post operative complication.
References
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7. Castillo OA, Vitagliano G, Olivares R, Sanchez-Salas R.
Complete excision of urachal cyst by laparoscopic means:
a new approach to an uncommon disorder. Arch Esp Urol
2007;60:607-11.
8. Permpongkosol S, Bella AJ, Suntisevee S, Leenanupunth C,
Stoller ML. Laparoscopic excision of urachal cysts in elderly
men and woman following pregnancy. J Med Assoc Thai
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management of complicated urachal remnants. BJU Int
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and retroperitoneum. In: Brunicardi FC, editor. Schwartz’S
principles of surgery. 9th ed. Houston, Texas: McGraw-Hill;
2010. p. 1271.
2. Linos D, Mitropoulos F, Patoulis J, Psomas M, Parasyris V.
Laparoscopic removal of urachal sinus. J Laparoendosc
Adv Surg Tech A 1997;7:135-8.
3. Berman SM, Tolia BM, Laor E, Reid RE, Schweizerhof SP, Freed
SZ. Urachal remnants in adults. Urology 1988;31:17-21.
4. Marmol Navarro S, Guadalajara Jurado J, Cancelo Suarez
P, Gil de la Puente J, Rajab R, Parra Mountaner LE. [Pyourachal
cyst]. Arch Esp Urol 1992;45:1034-6.
5. Mesrobian HG, Zacharias A, Balcom AH, Cohen RD. Ten
years of experience with isolated urachal anomalies in
children. J Urol 1997;158(3 Pt 2):1316-8.
6. Kojima Y, Hayashi Y, Yasui T, Itoh Y, Maruyama T, Kohri K.
Laparoscopic management for urachal cyst in a 9-year-old
boy. Int Urol Nephrol 2007;39: 771-4.
7. Castillo OA, Vitagliano G, Olivares R, Sanchez-Salas R.
Complete excision of urachal cyst by laparoscopic means:
a new approach to an uncommon disorder. Arch Esp Urol
2007;60:607-11.
8. Permpongkosol S, Bella AJ, Suntisevee S, Leenanupunth C,
Stoller ML. Laparoscopic excision of urachal cysts in elderly
men and woman following pregnancy. J Med Assoc Thai
2010;93:132-6.
9. Cutting CW, Hindley RG, Poulsen J. Laparoscopic
management of complicated urachal remnants. BJU Int
2005;96:1417-21.
10. Michael S. Martin, Lembo RM. A-17-year-old Boy with
Umbilical Discharge. Hospital Physician 2004:19-25.
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Published
2011-12-30
How to Cite
1.
Laiwattanapaisal S. Laparoscopic Excision of an Infected Urachal Cyst in an Adult. Thai J Surg [Internet]. 2011 Dec. 30 [cited 2024 Nov. 23];32(4). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/227314
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Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.
