頁籤選單縮合
| 題 名 | A Case Report of Congenital Urachal Cyst in a Newborn with Unusual Presentation Mimicking an Umbilical Cord Hernia=新生兒先天性臍尿管囊腫以非常見臍腹壁疝氣表現:案例報告 |
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| 作 者 | 蔡立儀; 穆淑琪; 陳怡伶; 張繼仁; | 書刊名 | 輔仁醫學期刊 |
| 卷 期 | 23:4 2025.12[民114.12] |
| 頁 次 | 頁32-36 |
| 分類號 | 417.5173 |
| 關鍵詞 | 臍部囊腫; 臍尿管囊腫; 臍腹壁疝氣; Umbilical cyst; Urachus; Urachal cyst; Umbilical cord hernia; |
| 語 文 | 英文(English) |
| DOI | 10.53106/181020932025122304003 |
| 中文摘要 | 本病例報告介紹了一名在產前檢查中發現1.5 x 1.5公分先天性臍部囊腫的新生兒。最初懷疑為臍腹壁疝氣,因此進行了全面檢查,未發現其他相關的異常。在進行手術切除後,病灶被確診為先天性尿道囊腫。嬰兒對手術耐受良好,於術後第7天順利出院,未出現併發症。此病例強調了在新生兒臍部囊腫中進行鑑別診斷的重要性,臍尿管囊腫可能有類似其他臍部異常的臨床表現如臍腹壁疝氣。早期診斷和及時手術可降低感染的病發症。本病例強調了臍尿管遺跡的多樣性表現,以及在處理臍部異常時提高臨床懷疑的重要性。 |
| 英文摘要 | Introduction: The umbilicus is a common site of various embryological anomalies. Congenital umbilical cord hernia involves the herniation of abdominal contents into the umbilical cord, a condition often misdiagnosed as omphalocele. Case Presentation: We describe a rare case of a term male neonate with a prenatal diagnosis of an umbilical cyst. Postnatally, the cyst ruptured, revealing exposed viscera with a blood-tinged discharge. Initial suspicion of congenital umbilical cord hernia led to imaging studies, which ruled out other gastrointestinal or genitourinary anomalies. Surgical exploration confirmed a urachal cyst, which was excised without complications. The patient had an uneventful recovery and was discharged in good condition. Discussion: Urachal cysts, though uncommon, can mimic other umbilical anomalies and may present atypically, as seen in our case. Early diagnosis and prompt surgical intervention are essential to prevent complications. This case emphasizes the diverse presentations of urachal remnants and the importance of clinical suspicion in managing umbilical anomalies. Conclusion: Urachal cysts can present as umbilical cord hernias, complicating diagnosis. A thorough clinical evaluation, imaging, and surgical management are critical to ensuring favorable outcomes. |
本系統中英文摘要資訊取自各篇刊載內容。