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

 

Abstract

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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The Annals of African Surgery is the official publication of the Surgical Society of Kenya.

 

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ISSN (print): 1999-9674; ISSN (online): 2523-0816

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