巨大脐尿管囊肿十分罕见。Toft曾收集腹部手术四万例,脐尿管囊肿仅六例,且都较小(乒乓球至网球大小)。我们最近遇到一例巨大的脐尿管囊肿,报道如下。 患者男性,61岁,因下腹壁偏左包块30年,近三年迅速长大,于82年5月12日入湖南省航运职工医院(病历号802772),1954年体检时发现下腹壁有一鹅蛋大的包块,无自觉症状,排尿正常。廿余年未见增大。至1979年后,包块迅速长大,有腹壁紧张和腹壁不适感。 入院检查:一般情况良好,上腹部平坦,下腹自脐开始陡然隆起,包块边缘略在脐平以上,下界在耻骨联合之上,左界为左髂前上棘之内侧缘,右界为右腹直肌外缘2厘米。约20厘米×20厘米×10厘米大小,形 Huge urachal cysts are rare. Toft had collected 40,000 cases of abdominal surgery, with only 6 cases of urachal cysts, and all of them were smaller (table tennis to tennis size). We recently encountered a huge urachal cyst, which is reported below. The patient was male, 61 years old. He suffered a 30-year left mass obstruction in the lower abdomen and grew rapidly in the past three years. He was admitted to the Hunan Provincial Shipping Workers’ Hospital on May 12, 82 (Case No. 802,772). In the 1954 examination, he found a lower abdominal wall. Goose egg mass, no symptoms, normal urination. There has been no increase in the remaining years. After 1979, the masses grew rapidly, with abdominal wall tension and abdominal discomfort. Admission examination: generally good condition, flat upper abdomen, abdomen starting from the umbilical uplift, the edge of the mass is slightly above the level of the umbilicus, the lower bound on the pubic symphysis, the left border is the medial border of the anterior superior iliac spine, the right border is the right Rectus abdominis muscle 2 cm. About 20 cm × 20 cm × 10 cm in size, shaped