Laparoscopic Excision of a Urachal Cyst Containing Large Stones in an Adult

Abstract

Stone-containing urachal cysts are extremely rare in adults. Here, we report the case of a 58-year-old man with a urachal cyst who had lower abdominal pain and urinary frequency. Abdominal ultrasonography and computed tomography showed hyperdense stones in the urachus. He was treated with a laparoscopic excision using a transperitoneal approach. The pathological diagnosis was an inflammed urachal cyst. This rare case illustrates an inflammed urachal cyst containing stones treated with laparoscopy.

The Urachal Pathology with Umbilical Manifestation: Overview of Laparoscopic Technique

“…In 1999, a review 10 reports only 10 cases treated laparoscopically but, to our knowledge, these reports in adult in the last 10 years of literature are not frequent. At present (PubMed search), some authors report single adult cases [11][12][13][14][15][16] However, all these authors refer only about patients treated by laparoscopic technique and, after having focused on surgical technique, report on how it is feasible, safe, and effective, particularly with regard for hospital stay, morbidity, convalescence, cosmetics, and not least, the almost complete absence of relapse. None of these studies is comparative with the open technique, and thus, results in terms of effectiveness are at least questionable.…”

Der ungewöhnliche Fall: Ein Corpus Alienum im Urachus

“…Eine Fistelung in den Urachus wurde im Rahmen eines M. Crohn, einer Sigmadivertikulitis und einer Cholezystolithiasis vorbeschrieben und zeigt das auch andere intraabdominelle Organe in den Urachus perforieren und sich Fisteln ausbilden können [1,2]. Seo et al beschreiben mehrere Steine als Fremdkörper im Urachus bei einem erwachsenen Mann [3]. Über die Therapie der Wahl sind sich die verschiedenen Autoren einig: die laparoskopische radikale Resektion, gegebenenfalls unter Mitnahme einer Blasenmanschette [4][5][6][7].…”

Urachal cyst in adulthood: case report with detailed laparoscopic management and review of literature

“…3 Complications of this have been described, including infection, formation of urachal calculi, and the potential risk for a malignant change of the, otherwise, benign urachal remnant. [4][5][6][7] A surgical excision is the recommended management these embryologic defects in symptomatic cases. Considering the potential complications and the risk of recurrence and risk of adenocarcinoma in the unresected remnant of the urachal cyst if treated with drainage.…”