Laparoscopic excision of urachal cysts in elderly men and woman following pregnancy.

Abstract

BACKGROUND AND OBJECTIVE:

Persistent urachus rarely presents in the aging male or during pregnancy. The authors report their experience with the laparoscopic excision of urachal cysts in two elderly men with significant co-morbidities and following pregnancy in a 32-year-old female.

MATERIAL AND METHOD:

The two male patients (65 and 70 years old, respectively) presented with a lower abdominal mass and umbilical discharge, while persistent urachus was identified incidentally during pregnancy; patients were managed with laparoscopic excision at 4 weeks, 6 weeks, and one year after diagnosis, respectively. Using 3 port accesses, the urachus and medial umbilical ligament were clipped and divided In 2 cases, specimens were separated from the bladder dome with a bladder cuff. In one patient, an additional port was required to facilitate intracorporeal freehand suturing of the bladder defect.

RESULTS:

All procedures were completed successfully via laparoscopy. No intraoperative or postoperative complications were reported Operative time ranged from 120, 180 and 160 minutes, respectively; in-hospital convalescence was 1, 7, and 6 days, respectively. Pathological evaluation revealed a benign urachal remnant in each case.

CONCLUSION:

Laparoscopic excision of urachal cysts in the aging male or following pregnancy is safe and effective.

• Authors: Sompol Permpongkosol, Anthony J Bella, Suchaya Suntisevee, Charoen Leenanupunth, Marshall L Stoller
• Journal: Journal of the Medical Association of Thailand = Chotmaihet thangphaet (J Med Assoc Thai) Vol. 93 Issue 1 Pg. 132-6 (Jan 2010) ISSN: 0125-2208 [Print] Thailand
• PMID: 20196423 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Aged
• Female
• Humans
• Laparoscopy
• Male
• Pregnancy
• Umbilicus (surgery)
• Urachal Cyst (surgery)