Yonsei Med J.  2008 Oct;49(5):869-871. 10.3349/ymj.2008.49.5.869.

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

• Seo IY
• Han DY
• Oh SJ
• Rim JS

• KMID: 2158210
• DOI: http://doi.org/10.3349/ymj.2008.49.5.869

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.

Keyword

Urachal cyst; stone; laparoscopy

MeSH Terms

Humans
*Laparoscopy
Male
Middle Aged
Urachal Cyst/pathology/radiography/*surgery
Urinary Bladder Calculi/pathology/radiography/*surgery

Figure

• 

  Fig. 1 Stones are located in front of the bladder on a lateral view cystogram.

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  Fig. 2 Computed tomography scans show the urachus (B) just below the stone (A).

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  Fig. 3 Gross finding of the urachus and bladder cuff shows an inflammed urachal cyst containing two stones (dot area).

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