J Korean Med Sci.  2006 Apr;21(2):361-364. 10.3346/jkms.2006.21.2.361.

Laparoscopic Management of Complicated Urachal Remnant in a Child

• Kim TW
• Chung H
• Yang SK
• Lee TU
• Woo SH
• Kim HS

• KMID: 1781852
• DOI: http://doi.org/10.3346/jkms.2006.21.2.361

Abstract

A few cases of laparoscopic surgery for urachal remnant in children has been reported in English literature. With recent developments in minimal invasive surgery, laparoscopic approach for urachal remnant in adulthood is recommended by some laparoscopic surgeons because of its technical feasibility and safety as well as cosmesis. Recently we experienced a case of complicated urachal remnant in a 14-month-old girl, who was managed by laparoscopic approach. At presentation, she complained of high fever and lower urinary tract symptoms. After 6 weeks of antibiotics therapy, laparoscopic surgery was performed transperitoneally via 3 ports. Our experience suggests that laparoscopic excision of urachal remnant can be performed easily and safely in children.

Keyword

Urachus; Laparoscopy; Surgery; Surgical Procedures; Minimally Invasive

MeSH Terms

Urachus/*abnormalities/pathology/*surgery
Staphylococcus aureus
Staphylococcal Infections/complications
Laparoscopy/*methods
Infant
Humans
Female

Figure

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  Fig. 1 Abdominal ultrasonography (A) and computed tomography (B) reveal the abscess cavity (arrow) under the anterior abdominal wall.

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  Fig. 2 Three ports were placed for laparoscopic excision of complicated urachal remnant.

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  Fig. 3 The urachal cyst coated by gentian violet was confirmed with ease.

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  Fig. 4 The sinus tract was delineated between the bladder dome and umbilicus.

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  Fig. 5 This picture shows a surgical specimen from radical excision of urachal remnant through laparoscopic approach.

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