Heavy smoker. Hematuria. Previous ultrasound showed an endoluminal nodule in the region of the anterior wall of the bladder, suggestive of bladder cancer.
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There is a heterogeneously enhancing mass located in anterior the wall of the bladder with intravesical extension, with the appearances of extension into urachal remnants.
Carcinomas of the urachus are extremely rare neoplasms.
The patient underwent surgery that confirmed the diagnosis of urachal adenocarcinoma.
- Koster IM, Cleyndert P, Giard RW. Best cases from the AFIP: urachal carcinoma. Radiographics. 29 (3): 939-42. doi:10.1148/rg.293085152 - Pubmed citation
- Yu JS, Kim KW, Lee HJ et-al. Urachal remnant diseases: spectrum of CT and US findings. Radiographics. 2001;21 (2): 451-61. Radiographics (full text) - Pubmed citation