Clinical Image

Malignant transformation of an urachal cyst

Wael Ferjaoui*, Dhouha Bacha, Rami Guizani, Aziz Atallah, Sana Ben Slama and Ahlem Lahmar

Published: 04 November, 2020 | Volume 4 - Issue 1 | Pages: 052-053

A 27-year-old man presented to our hospital for abdominal pain and a cheesy discharge from the umbilicus which lasted for a few days. He was afebrile. The physical examination revealed periumbilical tenderness and discharge from the umbilicus. There were no signs of general infection. Otherwise, he had neither specific symptoms nor a palpable abdominal mass. Pelvic computerized tomographic (CT) scanning) confirmed the presence of a cyst in the midline of the abdominal wall, with communication with the bladder and peripheral calcification. The mass was infiltrated to the perivesical fat (Figure 1). The patient was prepared for surgery. During laparotomy, a urachal cyst with the cuff of the bladder dome were removed (Figure 2). Recovery was unremarkable. The resected specimen was a partial cystectomy specimen with perivesical fat and the median umbilical ligament

Read Full Article HTML DOI: 10.29328/journal.acr.1001043 Cite this Article Read Full Article PDF


  1. Thomas DG, Ward AM, Williams JL. A study of 52 cases of adenocarcinoma of the bladder. Br J Urol. 1971; 43: 4-15. PubMed: https://pubmed.ncbi.nlm.nih.gov/4926456/
  2. Sheldon CA, Clayman RV, Gonzalez R, Williams RD, Fraley EE. Malignant urachal lesions. J Urol 1984; 131: 1-8. PubMed: https://pubmed.ncbi.nlm.nih.gov/6361280/
  3. Mattelaer P, Wolff JM, Jung P, IJzerman W, Jakse G. Adenocarcinoma of the urachus: 3 case reports and a review of the literature. Acta Urol Belg 1997; 65: 63-67. PubMed: https://pubmed.ncbi.nlm.nih.gov/9175286/


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