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患者:男性,4岁。腹痛发热一周,体查于中下腹部可触及一包块约3×3cm大小,活动度差。 CT平扫见下腹部膀胱前上方稍偏左有一约3.5×3cm的囊性包块,向上延伸至脐下腹壁,囊性部分CT值约29Hu,囊壁厚,密度均匀,CT值约49Hu,边缘稍模糊且突入膀胱内。CT诊断:考虑为脐尿管囊肿并感染。手术:包块呈囊性,上界距脐约3cm,下与膀胱底壁相连。病理:符合脐尿管囊肿并感染。
Patient: male, 4 years old. Abdominal pain fever a week, physical examination in the lower abdomen can reach a mass of about 3 × 3cm size, poor activity. CT scan to see the lower abdomen slightly above the top of the bladder slightly left about a 3.5 × 3cm cystic mass, extending up to the lower abdomen under the belly button, the cystic part of the CT value of about 29Hu, wall thickness, density, CT value of about 49Hu, The edge slightly blurred and broke into the bladder. CT diagnosis: Considered as an urachus cyst and infection. Surgery: mass was cystic, the upper bound about 3cm from the umbilical cord, connected with the bottom wall of the bladder. Pathology: In line with the urachal cyst and infection.