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Evaluation and treatment of an unusual urachal mass: a case report.

Cooper JL, Sopko NA, Bivalacqua TJ - Springerplus (2015)

Bottom Line: Abnormalities of the urachus, the vestigial remnant of the allantois, result when the embryonic lumen fails to completely obliterate during fetal development.Due to the low incidence of urachal masses, guidelines for diagnostic workup and treatment are based off of a limited body of evidence comprised primarily of case reports and retrospective series.We present the case of a fifty-two-year-old woman with a urachal mass.

View Article: PubMed Central - PubMed

Affiliation: James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, 600 North Wolfe Street/ Marburg 1, Baltimore, MD 21287 USA.

ABSTRACT
Abnormalities of the urachus, the vestigial remnant of the allantois, result when the embryonic lumen fails to completely obliterate during fetal development. In adults, urachal abnormalities are most commonly masses, with urachal adenocarcinoma representing the most frequent etiology. Due to the low incidence of urachal masses, guidelines for diagnostic workup and treatment are based off of a limited body of evidence comprised primarily of case reports and retrospective series. We present the case of a fifty-two-year-old woman with a urachal mass. Full radiologic workup consisting of computed tomography, cystoscopy and ultrasonography is included, and the risk factors, treatment and prognosis are discussed.

No MeSH data available.


Related in: MedlinePlus

Ultrasonography of the upper pelvis, transverse (left) and sagittal (right) views. The heterogeneous mass (arrows) lies superficial to the bladder, which is decompressed with a Foley catheter.
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Fig2: Ultrasonography of the upper pelvis, transverse (left) and sagittal (right) views. The heterogeneous mass (arrows) lies superficial to the bladder, which is decompressed with a Foley catheter.

Mentions: Ultrasonography further characterized the mass as heterogeneous with both cystic and solid components, and revealed that there was not a drainable pocket (FigureĀ 2). An ultrasound-guided fine needle aspiration was obtained for gross pathology, cytopathology and microbiologic analysis of the mass. These studies demonstrated marked acute inflammation, rare amounts of Candida krusei present, no evidence of bacteria, and no cytological or gross evidence of malignancy. Her blood and urine cultures since admission had been repeatedly negative for enteric bacteria or fungi, and her fever had dissipated.Figure 2


Evaluation and treatment of an unusual urachal mass: a case report.

Cooper JL, Sopko NA, Bivalacqua TJ - Springerplus (2015)

Ultrasonography of the upper pelvis, transverse (left) and sagittal (right) views. The heterogeneous mass (arrows) lies superficial to the bladder, which is decompressed with a Foley catheter.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4305049&req=5

Fig2: Ultrasonography of the upper pelvis, transverse (left) and sagittal (right) views. The heterogeneous mass (arrows) lies superficial to the bladder, which is decompressed with a Foley catheter.
Mentions: Ultrasonography further characterized the mass as heterogeneous with both cystic and solid components, and revealed that there was not a drainable pocket (FigureĀ 2). An ultrasound-guided fine needle aspiration was obtained for gross pathology, cytopathology and microbiologic analysis of the mass. These studies demonstrated marked acute inflammation, rare amounts of Candida krusei present, no evidence of bacteria, and no cytological or gross evidence of malignancy. Her blood and urine cultures since admission had been repeatedly negative for enteric bacteria or fungi, and her fever had dissipated.Figure 2

Bottom Line: Abnormalities of the urachus, the vestigial remnant of the allantois, result when the embryonic lumen fails to completely obliterate during fetal development.Due to the low incidence of urachal masses, guidelines for diagnostic workup and treatment are based off of a limited body of evidence comprised primarily of case reports and retrospective series.We present the case of a fifty-two-year-old woman with a urachal mass.

View Article: PubMed Central - PubMed

Affiliation: James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, 600 North Wolfe Street/ Marburg 1, Baltimore, MD 21287 USA.

ABSTRACT
Abnormalities of the urachus, the vestigial remnant of the allantois, result when the embryonic lumen fails to completely obliterate during fetal development. In adults, urachal abnormalities are most commonly masses, with urachal adenocarcinoma representing the most frequent etiology. Due to the low incidence of urachal masses, guidelines for diagnostic workup and treatment are based off of a limited body of evidence comprised primarily of case reports and retrospective series. We present the case of a fifty-two-year-old woman with a urachal mass. Full radiologic workup consisting of computed tomography, cystoscopy and ultrasonography is included, and the risk factors, treatment and prognosis are discussed.

No MeSH data available.


Related in: MedlinePlus