Urachal adenocarcinoma is a rare tumor and represents 0.17-0.34% of all bladder tumors. It has an insidious course and variable clinical presentation. We present a case report of a 58 year old white male with an urachal cyst who suffered irritative voiding symptoms and long term mucusuria, since childhood. After surgical removal of the cyst with a partial cystectomy a mucus adenocarcinoma was d...

Background: Urachal cysts (UCs) are secondary to incomplete obliteration of the embryonic urachal duct and may become symptomatic when infected. Treatment is primarily surgical to excise the infected cyst. Surgical approaches include a lower midline laparotomy or minimally invasive (MI) techniques. Case: We present a case of a young male with an infected UC that was treated with a single-incisi...

often subject to infection, spontaneous rupture, fistula formation or a malignant change. Sigmoid-urachal fistulas have been reported in cases of colonic diverticulitis or an infected urachal cyst (1-3); however, for these cases, there is no communication with the urinary bladder or any association with urothelial carcinoma. Although the normal urachus is most commonly lined by the transitional...

The urachus is a tubular structure in intrauterine life and the failure of obliteration of its lumen can lead to various anomalies in post natal life namely; patent urachus, urachal sinus, urachal cyst or urachal diverticulim. These urachal anomalies may have symptomatic presentation such as watery umbilical discharge, swelling in the umbilical area or remain asymptomatic to be detected inciden...

Cystoscopic light assisted mucosa sparing laparoscopic urachal cyst excision Pawan Vasudeva, Gaurav Kumar, Harbinder Singh, Niraj Kumar, Mikir Patel Department of Urology, VMMC & Safdarjung Hospital, New Delhi, India

During prenatal life, urinary bladder communicates with allantois through a structure known as urachus which becomes atrophied and its lumen gets cicatrized after parturition (Laverty and Salisbury, 2002). Partial or complete failure of lumen obliteration of this structure results in different anomalies like pervious urachus where complete length of urachal lumen fails to obliterate (Langan et ...

Urachal remnant disease is uncommon in adults and can present with symptoms ranging from drainage near the umbilicus to a severe abdominal infection. Most cases are referred for treatment once diagnosed either clinically or radiographically with ultrasound or computerized tomography. We present a unique case of an infected urachal cyst visualized on a series of CT scans in an adult patient with...

The urachus is the remnant of the cloaca, which in adults attaches the bladder dome to the umbilicus. After birth it obliterates and presents as the midline umbilical ligament. Patent urachal anomalies are usually detected in childhood. In adults they occur very rarely and the presentation and diagnosis may be occasionally challenging. We present and discuss the case of an infected urachal cyst...