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Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition

Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition

Published on: June 21, 2024

Urachal abnormalities: clinical and imaging features.

A Nimmonrat¹, W Na-ChiangMai, M Muttarak

¹Department of Radiology, Chiang Mai Neurological Hospital, Suthep Road, Chiang Mai, Thailand.

Singapore Medical Journal

|November 28, 2008

Summary

Diagnosing complicated urachal abnormalities like urachal carcinoma or infection can be challenging. Imaging features alone are often insufficient to distinguish between tumors and infections, necessitating careful clinical correlation.

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Published on: November 22, 2019

Area of Science:

Urology
Radiology
Pathology

Background:

Urachal abnormalities present with diverse clinical symptoms, often mimicking other intra-abdominal or pelvic conditions.
This study reviews clinical, imaging, and pathological findings of complicated urachal abnormalities to assess diagnostic capabilities.
The primary objective is to determine if imaging can differentiate urachal tumors from infections.

Observation:

Seven patients (3 male, 4 female, aged 12-73) with surgically confirmed urachal abnormalities were analyzed.
Infected urachal remnants presented with dysuria, abdominal pain, and mass; urachal carcinoma presented with abdominal mass and hematuria.
Imaging (CT, US, cystography) revealed midline, extraperitoneal masses with varied characteristics (cystic, solid, ill-defined).

Findings:

Pathology confirmed xanthogranulomatous inflammation in two cases, adenocarcinoma in three, and chronic non-specific inflammation in two.
Imaging findings included cystic and ill-defined solid masses, with ultrasonography showing cystic and echogenic masses.
Cystography indicated bladder dome indentation and mucosal irregularity in one case.

Implications:

Clinical presentation and imaging can suggest urachal abnormalities.
Differentiating urachal tumors from infections based solely on imaging features remains difficult.
Integrated diagnostic approaches are crucial for accurate preoperative diagnosis of urachal abnormalities.