Title: Urachal Mass Lesion a Case Report

Authors: Dr Sachin, Dr Kirti Rana, Dr R.N. Gehlot

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i8.93

Abstract

Diseases of urachal remnants are uncommon and located on the junction of the urachal remnant with the bladder dome. In most cases such diseases correspond to mucinous adenocarcinomas and present haematuria as their most common clinical finding. The authors report the case of a 28-year-old female patient present with complain of mucinous and blood mixed discharge from umbilicus since one and half year. Ultrasonography and computed tomography findings are described.

References

  1. U JS, Kim KW, Lee HJ, et al. Urachal remnant diseases: spectrum of CT and US findings. Radiographics. 2001;21:451-61. [ Links]
  2. Koster IM, Cleyndert P, Giard RW. Best cases from the AFIP: urachal carcinoma. Radiographics. 2009;29:939-42. [ Links]
  3. Brick SH, Freidman AC, Pollack HM, et al: Urachal carcinoma CT findings. Radiology 1988 Nov,169 (2): pg. 377-81.  
  4. Ghazizadeh M., Yamamoto S., Kurokawa K. Clinical features of urachal carcinoma in Japan: review of 157 patients. Urol Res. 1983;11(5):235–238.
  5. Molina J.R., Quevedo J.F., Furth A.F., Richardson R.L., Zincke H., Burch P.A. Predictors of survival from urachal cancer: a Mayo Clinic study of 49 cases. Cancer. 2007;110(11):2434–2440. 
  6. Sheldon C.A., Clayman R.V., Gonzalez R., Williams R.D., Fraley E.E. Malignant urachal lesions. J Urol. 1984;131(1):
  7. Boothroyd AE, Cudmore RE. Ultrasound of the discharging umbilicus. PediatrRadiol 1996; 26:362-364.
  8. Cilento BG, Jr, Bauer SB, Retik AB, Peters CA, Atala A. Urachal anomalies: defining the best diagnostic modality. Urology 1998; 52:120-122.
  9. Khati NJ, Enquist EG, Javitt MC. Imaging of the umbilicus and periumbilical region. RadioGraphics 1998; 18:413-431.
  10. Schubert GE, Pavkovic MB, Bethke-Bedurftig BA. Tubular urachal remnants in adult bladders. J Urol 1983; 127:40-42.
  11. Berman SM, Tolia BM, Laor E, Reid RE, Schweizerhof SP, Freed SZ. Urachal rem-nants in adults. Urology 1988; 31:17-21.

Corresponding Author

Dr Sachin

PG MD Resident,  Radiodiagnosis Department, Dr SNMC Jodhpur (Raj)