급성복증을 보이는 감염성 요막관 기형

• Published in: Annals of surgical treatment and research Vol. 67; no. 4; pp. 320 - 324
• Main Authors: 이잔디(Jan Dy Lee), 임치영(Chee Young Lim), 김형일(Hyoung Il Kim), 정철운(Chul Woon Chung), 김종우(Jong Woo Kim), 안대호(Dae Ho Ahn), 김승기(Seung Ki Kim), 손석우(Suk Woo Sohn), 이경포(Kyung Po Lee), 이경식(Kyung Sik Lee)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.10.2004
• Subjects: 일반외과학; Urachal remnants; Urachal anomalies; Urachal cyst; 요막관낭종; 요막관기형; Acute abdomen; 급성복증
• ISSN: 2288-6575; 2288-6796

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. KCI Citation Count: 1