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Case Reports
. 2014 Nov-Dec;47(6):387-8.
doi: 10.1590/0100-3984.2013.1879.

Urachal neoplasia: a case report

Célio Lúcio Palha da Cruz  1 , Gabriel Lacerda Fernandes  1 , Marcelo Ricardo Canuto Natal  2 , Thales Roberto Teixeira Taveira  1 , Patrícia Amaral Bicalho  3 , Yanna Quitéria Iida Pimentel de Brito  4
Affiliations
Case Reports

Urachal neoplasia: a case report

Célio Lúcio Palha da Cruz et al. Radiol Bras. 2014 Nov-Dec.

Abstract
in English, Portuguese

Diseases of urachal remnants are uncommon and generally located on the junction of the urachal remnant with the bladder dome. In most cases such diseases correspond to mucinous adenocarcinomas and present hematuria as their most common clinical finding. The authors report the case of a 62-year-old female patient undergoing follow-up due to macroscopic hematuria for three years. Ultrasonography and computed tomography findings are described.

As doenças dos remanescentes do úraco são incomuns. Localizam-se geralmente na junção remanescente do úraco com a cúpula vesical. Adenocarcinomas mucinosos são a maioria. A característica clínica mais comum é a hematúria. Neste artigo relatamos o caso de uma paciente de 62 anos com quadro de hematúria macroscópica com evolução de três anos. São descritos achados na ultrassonografia e tomografia computadorizada.

Keywords: Carcinoma; Hematuria; Neoplasms of the bladder; Urachus.

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Figures

Figure 1
Figure 1
Ultrasonography, sagittal plane showing the presence of a remnant urachus and expansile, heterogeneous and irregular lesion (between arrows) at the midline of the meso hypogastrium region on the posterosuperior bladder wall.
Figure 2
Figure 2
Computed tomography, axial section showing urachal remnant and a mass with soft parts components with heterogeneous contrast enhancement in the meso hypogastrium region at the anterosuperior midline for the apex of the bladder (arrow).
Figure 3
Figure 3
Computed tomography, sagittal reconstruction showing urachal remnant and expansile lesion on the midline of the meso hypogastrium region, with heterogeneous contrast enhancement on the transition point between the bladder and the urachus (arrow).
Figure 4
Figure 4
Cystoscopy (photography) identifying the presence of a large vegetative lesion on the vesical dome.
See this image and copyright information in PMC

References

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