PMC5278813_01
Abdominopelvic CT scan shows a 2.5 x 2.5 midline cystic mass (arrows) with inflammatory changes.
fig-1.jpg
PMC5278813_01_fig-1.jpg
f1
Abdominopelvic CT detected an infraumbilical cystic mass in the midline with inflammatory changes extending to the bladder dome (Fig. 1).
(A) Transumbilical SILS  port was introduced into the abdominal cavity. Three trocars were inserted, two for 5 mm ports and one for a 12 mm port; (B)UC excision using a Double-approach. Notice the transilumination of bladder assisted with a flexible cystoscope; (C) Watertight continuous closure (arrows) of the bladder dome using V-Lock; (D) Urachus and bladder cuff (arrows) were removed through the surgical wound site. UC, urachal cyst.
fig-2.jpg
PMC5278813_01_fig-2.jpg
f2
Through this multiport, two 5 mm trocars and a 12 mm 30  lens rigid camera were inserted (Fig. 2A). To guide the circumferential resection of the bladder dome (Fig. 2B), a cystoscope was inserted into the bladder. Partial cystectomy was followed by a bladder repair watertight with continuous 3-0 V-Lock one layer running suture (Fig. 2C). Urachal remnant and bladder cuff were removed with the umbilicus (Fig. 2D).
Infected UC.
fig-3.jpg
PMC5278813_01_fig-3.jpg
f3
Pathology report determined the specimen as an infected benign UC (Fig. 3).