Conservative management of a urachal remnant perforation during laparoscopic ovarian cystectomy
Conservative management of a urachal remnant perforation during laparoscopic ovarian cystectomy
Complications associated with persistent urachal remnant disease have been well documented in neonates and more recently in adults. These include laparoscopic perforation. The case has previously been made for conservative management of small symptomatic urachal remnants in young infants and also for conservative management of iatrogenic cystotomies in the absence of overt sepsis using assisted bladder drainage and prophylactic antibiotics. However, to our knowledge, there has been no recent case of successful conservative management of laparoscopically perforated urachal remnant in an adult. This case describes the incidental perforation of a suspected urachal remnant in an adult female which resulted in an infected anterior abdominal wall collection. The patient was treated with assisted bladder drainage and intravenous antibiotics. Evidence of healing was demonstrated 4 weeks later using a cystogram.
urachal, remnant, laparoscopy, conservative, perforation
273-275
Evans, Christelle Helena
766e55ae-fd95-4908-afae-22bc9f406bf7
Cumming, John
5a85fbd8-6315-446a-bdde-7b7cb4ce30a8
Lukman, Henny
77faf8f1-3cc2-4154-95ce-05f6b407d991
Proctor, Robin D.
32e56297-646a-4c79-85a0-18163e39ad31
Cheong, Ying
4efbba2a-3036-4dce-82f1-8b4017952c83
September 2009
Evans, Christelle Helena
766e55ae-fd95-4908-afae-22bc9f406bf7
Cumming, John
5a85fbd8-6315-446a-bdde-7b7cb4ce30a8
Lukman, Henny
77faf8f1-3cc2-4154-95ce-05f6b407d991
Proctor, Robin D.
32e56297-646a-4c79-85a0-18163e39ad31
Cheong, Ying
4efbba2a-3036-4dce-82f1-8b4017952c83
Evans, Christelle Helena, Cumming, John, Lukman, Henny, Proctor, Robin D. and Cheong, Ying
(2009)
Conservative management of a urachal remnant perforation during laparoscopic ovarian cystectomy.
Gynecological Surgery, 6 (3), .
(doi:10.1007/s10397-009-0495-1).
Abstract
Complications associated with persistent urachal remnant disease have been well documented in neonates and more recently in adults. These include laparoscopic perforation. The case has previously been made for conservative management of small symptomatic urachal remnants in young infants and also for conservative management of iatrogenic cystotomies in the absence of overt sepsis using assisted bladder drainage and prophylactic antibiotics. However, to our knowledge, there has been no recent case of successful conservative management of laparoscopically perforated urachal remnant in an adult. This case describes the incidental perforation of a suspected urachal remnant in an adult female which resulted in an infected anterior abdominal wall collection. The patient was treated with assisted bladder drainage and intravenous antibiotics. Evidence of healing was demonstrated 4 weeks later using a cystogram.
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Published date: September 2009
Keywords:
urachal, remnant, laparoscopy, conservative, perforation
Identifiers
Local EPrints ID: 151355
URI: http://eprints.soton.ac.uk/id/eprint/151355
ISSN: 1613-2076
PURE UUID: 3b935a3c-a067-4b71-b913-6d539b8ce038
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Date deposited: 14 May 2010 11:33
Last modified: 14 Mar 2024 02:53
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Contributors
Author:
Christelle Helena Evans
Author:
John Cumming
Author:
Henny Lukman
Author:
Robin D. Proctor
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