Imaging of Urachal Adenocarcinoma: A Case Report

Adenocarcinoma of the urachus is a rare but highly aggressive malignancy that arises from the urachal remnant. Due to its non-specific symptoms and potential to mimic more common and benign conditions, accurate and early diagnosis through imaging is crucial. This report will discuss the role of imaging in urachal adenocarcinoma regarding the characteristics and diagnosis of this tumour, with a focus on CECT, MRI, and ultrasound for detection, staging, and treatment planning. Since urachal adenocarcinoma is a rare and complex disease, optimal results can be achieved only with a combined approach, where close cooperation among urologists, radiologists, oncologists, and pathologists is absolutely necessary. This investigation underlines the importance of increased awareness and expertise in the early and accurate imaging of this malignancy and advocates that optimal survival and quality of life can be best achieved in these patients by a well-coordinated, expert-driven approach.