小儿脐尿管囊肿伴感染误诊为卵巢囊肿蒂扭转一例初步经验并文献复习

Urachal cyst with infection was misdiagnosis as torsion of ovarian cyst pedicle in children:a case report and literature review

目的探讨小儿脐尿管囊肿伴感染的临床表现、诊断与鉴别诊断及治疗方案。方法回顾性分析1例脐尿管囊肿伴感染表现为卵巢囊肿蒂扭转患儿的临床表现、影像学特征、治疗方案及病理,对脐尿管畸形进行相关的探讨及文献复习。结果患儿行腹腔镜探查术,明确诊断,于腹腔镜下完整切除病灶。结论小儿脐尿管囊肿伴感染诊断困难,对于临床表现不典型患者,易误诊、漏诊,诊断性腹腔镜可减少误诊的发生并可行相应的微创外科治疗。

Objective To explore the clinical manifestations,diagnosis,differential diagnosis and treatment of urachal cyst with infection in children.Methods The clinical manifestations,imaging features,treatment and pathology of a child with urachal cyst associated with infection and ovarian cyst pedicle torsion were retrospectively analyzed.Results Children in the diagnosis was confirmed by laparoscopic exploration,and the lesions were completely removed under the laparoscope.Conclusions It is difficult to diagnose urachal cyst with infection in children.For patients with atypical clinical manifestations,it is easy to misdiagnose and missed diagnosis.Diagnostic laparoscopy can reduce the occurrence of misdiagnosis and feasible corresponding minimally invasive surgical treatment.