Urachal carcinoma

Case contributed by Ian Bickle
Diagnosis almost certain


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

Patient Data

Age: 50 years
Gender: Female

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.