Patient presented with high PSA, and a negative transrectal ultrasound biopsy. Prostate MRI performed for cancer detection.
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Adjacent to the bladder apex, at the attachment of the median umbilical ligament there is a fluid-filled cyst consistent with a remnant urachal cyst.
This case shows an incidental finding of a vesico-urachal diverticulum. These cysts may become infected, which must also raise the suspicion of urachal adenocarcinoma.