Calcified urachal remnant with vesicourachal diverticulum stone

Case contributed by Dr Heba Mohamed

Presentation

Suprapubic pain.

Patient Data

Age: 60 years
Gender: Male

Axial CT images demonstrate a calcified anterior urinary bladder wall lesion with small calcified focus immediately anterior to the anterior wall of the urinary bladder. Sagittal MPR demonstrates a tube-like urachal diverticulum with small intraluminal radiodense lesions.

Case Discussion

The patient was referred for non-contrast CT urinary tract protocol for urologic complaints including dysuria and suprapubic pain, with suprapubic tenderness on physical examination. Pelvic ultrasonography showed a calcified object within the anterior urinary bladder wall.

The patient’s final diagnosis was vesicourachal diverticulum stones together with a calcified urachal remnant. 

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Case information

rID: 54388
Case created: 7th Jul 2017
Last edited: 10th Jul 2017
System: Urogenital
Inclusion in quiz mode: Excluded

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