Urological Science
Volume 21, Issue 4 , Pages 187-188, December 2010

Urachal Xanthogranulomatous Inflammation

  • Shu-Fen Tseng

      Affiliations

    • Department of Urology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan
  • ,
  • Wen-Chou Yang

      Affiliations

    • Department of Urology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Urology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, 123, Ta-Pei Road, Kaohsiung, Taiwan
  • ,
  • Ming-Tse Sung

      Affiliations

    • Department of Pathology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan

Received 23 September 2009; received in revised form 30 October 2009; accepted 26 November 2009.

Article Outline

We report a rare case of urachal xanthogranulomatous inflammation, which presented as voiding frequency in a 67-year-old female patient. Abdominal computed tomography showed a mass above the bladder extending to the umbilicus. The patient received partial cystectomy with urachal excision, which showed a good outcome without tumor recurrence during 3 months of follow-up. There have only been a few reported cases of urachal xanthogranulomatous inflammation in the literature, of difficulties in the preoperative differential diagnosis from urachal carcinoma.

Key Words:  inflammation , urachus , xanthogranulomatous

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References 

  1. Goodman M , Curry T , Russell T . Xanthogranulomatous pyelonephritis (XGP): a local disease with systemic manifestations. Report of 23 patients and review of the literature . Medicine (Baltimore) . 1979;58:171–181
  2. Carrere W , Gutiérrez R , Umbert B , Solé M , Menéndez V , Carretero P . Urachal xanthogranulomatous disease . Br J Urol . 1996;77:612–613
  3. Yamamoto T , Mori Y , Katoh Y , et al.   A case of urachal xanthogranuloma suspected to be a urachal tumor . Hinyokika Kiyo . 2004;50:493–495 [In Japanese]
  4. Kasai T , Miyake N , Fukukawa T , Hirakawa E . A case of urachal xanthogranuloma causing recurrent intestinal obstruction . Hinyokika Kiyo . 2001;47:587–590 [In Japanese]

PII: S1879-5226(10)60042-5

doi:10.1016/S1879-5226(10)60042-5

Urological Science
Volume 21, Issue 4 , Pages 187-188, December 2010