Urachal carcinoma

Case contributed by Dr Ian Bickle

Presentation

Palpable lump on the anterior abdominal wall. No prior surgery. No trauma.

Patient Data

Age: 50 years
Gender: Female
CT

2 cm spiculated right lower midline anterior abdominal wall mass abutting the rectus sheath.

A small enhancing linear focus of tissue communicates with the mass and towards the anterior aspect of the dome of the bladder.

The upper abdomen is normal in appearance.

Case Discussion

An image-guided biopsy of this deep anterior abdominal wall mass was undertaken.

HISTOLOGY:  Urachal carcinoma

Carcinoma is one of a range of urachal abnormalities which can occur. Be careful to look for the communication, sometimes subtle, with the dome of the bladder.

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Case information

rID: 58689
Published: 1st Mar 2018
Last edited: 16th Jul 2018
Tag: ripas2
Inclusion in quiz mode: Included

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