급성복증을 보이는 감염성 요막관 기형
Infected Urachal Remnants with Symtoms of the Acute Abdomen: The Differential Diagnosis & Proper Management
이잔디, 임치영, 김형일, 정철운, 김종우, 안대호, 김승기, 손석우, 이경포, 이경식,
소속 상세정보
이잔디 ( Lee Jan-Dee )
포천중문의과대학교 외과학교실
임치영 ( Lim Chi-Young )
연세대학교 의과대학 외과학교실
김형일 ( Kim Hyung-Il )
연세대학교 의과대학 외과학교실
정철운 ( Chung Chul-Woon )
포천중문의과대학교 외과학교실
김종우 ( Kim Jong-Woo )
포천중문의과대학교 외과학교실
안대호 ( Ahn Dae-Ho )
포천중문의과대학교 외과학교실
김승기 ( Kim Seung-Ki )
포천중문의과대학교 외과학교실
손석우 ( Son Suk-Woo )
포천중문의과대학교 외과학교실
이경포 ( Lee Kyung-Po )
포천중문의과대학교 외과학교실
이경식 ( Lee Kyung-Sik )
포천중문의과대학교 외과학교실
KMID : 0371320040670040320
Abstract
PURPOSE: Urachal anomalies are rare, but often give rise to a number of problems, such as infection, rupture, sepsis and malignant change. The abdominal manifestation of urachal remnants often prompts referral to general or urologic surgeons. Herein, our clinical experiences were analyzed and guide lines for the preoperative diagnosis and proper management of complicated urachal anomalies suggested.
METHODS: Twelve cases of urachal cyst, who visited the surgery department of Pochon CHA university hospital between April 1, 1995 and December 10, 2002, were studied. Clinical data, including clinical manifestations, diagnostic modalities and treatment methods were reviewed.
RESULTS: Of the twelve cases reviewed, nine were males and three were females with a mean age of 33.6 years. The most common clinical manifestation was abdominal pain (58%), followed by a palpable mass (25%). The accuracies of the diagnostic modalities were 60 and 37% for abdominopelvic computed tomography and abdominal ultrasonography, respectively. The preoperative diagnosis rate was 50%, with one case not even diagnosed during surgery.
CONCLUSION: Persistent urachal remnants can present at any age, with a variety of clinical manifestations. Abdominal computed tomography is a reliable diagnostic tool, and additional diagnostic studies are not generally warranted. The early surgical treatment seems to be the best solution prior to the onset of complications that would expose patients to difficult surgical operations and protract hospitalization.
키워드
요막관기형;요막관낭종;급성복증;Urachal anomalies;Urachal remnants;Urachal cyst;Acute abdomen
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