Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
Online ISSN : 1882-9112
Print ISSN : 0385-7883
ISSN-L : 0385-7883
CASE REPORTS
A Case of Laparoscopic Surgery for an Umbilical Urachal Remnant
Takahiro UmemotoKazuki ShinmuraTetsuhiro GotoGaku KigawaHiroshi NemotoKenji Hibi
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2012 Volume 37 Issue 5 Pages 1040-1042

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Abstract
A 25-year-old woman presented to the hospital with omphalitis. A physical examination revealed a poorly defined mass 3 cm in diameter without tenderness under her umbilicus. A contrast-enhanced computed tomography scan revealed an abscess cavity under the anterior abdominal wall and umbilicus. After conservative treatment with antibiotics and drainage, we performed laparoscopic resection of umbilical urachal remnant including some of the indurated surrounding tissues under pneumoperitoneum using a 3-port method. Histological examination revealed an urachal remnant with inflammation. The patient was discharged on postoperative day 7 without any complications.
 In this case, the patient was successfully treated with laparoscopic resection of the umbilical urachal remnant, and no evidence of local recurrence was observed during the follow-up period.
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© 2012 Japanese College of Surgeons
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