Carcinoma of the urachus: the role of computed tomography

Carcinoma of the urachus is a rare entity with poor prognosis. Calcification, a deformed bladder apex, and lateral ureteral displacement have been described as radiographic findings, although radiology has been considered to be of limited value in establishing the diagnosis. Two cases are reported in which computed tomography (CT) contributed to the diagnosis and management. The association of a calcified suprapubic mass on CT together with a history of the passage of blood and mucus per urethra is suggestive of the diagnosis.