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Excision of the urachal remnant using the abdominal wall-lift laparoscopy: A case report.


ABSTRACT:

Introduction

Here, we report the surgical excision of the urachal remnant using the abdominal wall-lift laparoscopy with a camera port in the umbilicus, combined with a small Pfannenstiel incision to optimally treat the bladder apex.

Presentation of case

A 21-year-old woman presented with periumbilical discharge and pain on urination. Contrast enhanced CT and MRI showed an abscess in the umbilical region that was connected to the bladder via a long tube-like structure. It was diagnosed as an infected urachal sinus. Partial excision of the umbilical fossa followed by dissection of the urachal remnant was easily performed using the abdominal wall-lift laparoscopy from the umbilicus down to the bladder without pneumoperitoneum or additional trocar placement. A Pfannenstiel inci

SUBMITTER: Kobayashi K 

PROVIDER: S-EPMC4832082 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature