Laparoscopic resection of urachal remnant with omphalitis and simultaneous cholecystectomy-a case report-

Abstract

We report a case of a laparoscopic resection of urachal remnant with omphalitis and cholelcystectomy for cholelithiasis that was found at the same time after the inflammtion subsided. A 78–year–old man was admitted to the hospital because of discharge from the umbilicus. Abdominal CT scan revealed high density area extending from the umbilicus to the top of the bladder. The most likely diagnosis was abscess of urachal remnant. Laparoscopic operation for urachal remnant and cholelithiasis was performed successfully after the local inflammation subsided. One more port was added after the cholecystectomy. The umbilical urachal fistula was divided from the bladder and removed through the subumbilical wound. The patient was discharged from the hospital on the postoperative day 4 without postoperative complications. This is the first case of laparoscopic resection of urachal remnant and simultaneous cholelecysteclomy performed in Japan. It is important to choose the place of ports according to the procedure planned.