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A Rare Case of Urachovesical Calculus: A Diagnostic Dilemma and Endo-Laparoscopic Management

2002; Mary Ann Liebert, Inc.; Volume: 12; Issue: 4 Linguagem: Inglês

10.1089/109264202760268087

1557-9034

Mohammed Saleh Al Ansari, Ashok K. Hemal,

Ureteral procedures and complications

Urachal anomaly in an adult is extremely rare, as the majority of urachal remnants obliterate shortly after birth. A 55-year-old man presented with irritative voiding symptoms. A plain film demonstrated a radiopaque shadow in the region of the urinary bladder. Ultrasonography showed a fixed echogenic focus in relation to the anterior bladder wall. With these investigations, the patient was referred to us with a diagnosis of a vesical stone. We suspected it to be a case of a urachal calculus. Therefore, a CT scan of the pelvis was obtained, which showed a midline tubular tract containing a cylindrical stone, further extending into the bladder as a pedunculated stone. The patient was managed by a combination of endoscopic and laparoscopic techniques. A urachovesical stone like a cherry (pedunculated) has not been reported previously in the English-language literature. This case also illustrates for the first time the combined use of endoscopy and laparoscopy to retrieve a urachovesical stone and the excision of the urachus.