Adenocarcinoma arising in a urethral diverticulum

Case contributed by Nasir Siddiqui
Diagnosis probable


Pain and difficulty urinating.

Patient Data

Age: 40 years
Gender: Female

Vaginal contrast was used for this study.

Axial and coronal MR images of the pelvis demonstrate a circumferential mass around the urethra with extension into the posterolateral anterior vaginal wall. Additionally, superior extension into the bladder base is best seen on the coronal images.

Also, note the abnormal T2 signal above and below the mass in the periurethral regions suggesting a urethral diverticulum.

Case Discussion

This case is an opportunity to review periurethral mass lesions:

Differential considerations


Adenocarcinoma arising from a urethral diverticulum

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