Urachal Adenocarcinoma

Nguku S, Twahirwa N, Mburugu P, Rukaria K, Etabale J, Githae F, Tharao M.


Aga Khan University Hospital, Nairobi


Correspondence to: Dr. Samuel Nguku, P.O Box 30270-00100, Nairobi, Kenya. Email:samuel.gitau@aku.edu



Urachal adenocarcinoma is a rare tumor and represents 0.17–0.34% of all bladder tumors. Most of the reported cases are in western literature and to the best of our knowledge this is the first case report of urachal adenocarcinoma in sub-Saharan Africa. It has an insidious course and variable clinical presentation. We present a case report of a 45 year old female with three month history of hematuria. Imaging showed a bladder dome mass. After cystoscopy and biopsy, urachal adenocarcinoma was diagnosed histologically. After a negative screen for distant metastasis based on CT chest and abdomen, the patient underwent anterior pelvic exenteration and ileal neo-bladder reconstruction. Six months later, the patient presented with chest metastases. Clinicians should have a high degree of suspicion for these rare tumors.



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