Xanthogranulomatous Inflammation of Urachus

Jeong Hyun Oh; Jae Min Chung; Seong Choi

doi:10.14777/kjutii.2013.8.1.55

Journal List > Korean J Urogenit Tract Infect Inflamm > v.8(1) > 1059929

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Oh, Chung, and Choi: Xanthogranulomatous Inflammation of Urachus

Case Report

Korean J Urogenit Tract Infect Inflamm 2013;8(1):55-58.

Published online: 17 April 2013

DOI: https://doi.org/10.14777/kjutii.2013.8.1.55

Xanthogranulomatous Inflammation of Urachus

Jeong Hyun Oh, Jae Min Chung, Seong Choi

Department of Urology, Kosin University College of Medicine, Busan, Korea

Correspondence to: Jae Min Chung Department of Urology, Kosin University College of Medicine, 262, Gamcheon-ro, Seo-gu, Busan 602-702, Korea Tel: +82-51-990-5075, Fax: +82-51-990-3994 E-mail: busanuro@hanmail.net

No potential conflict of interest relevant to this article was reported.

Received 4 April 2013 Revised 15 April 2013 Accepted 15 April 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Urachal xanthogranuloma is an extremely rare disease. An 18-year-old male presented with lower abdominal pain, hematuria, and dysuria. An urachal mass with bladder invasion, which was suspected to be an urachal carcinoma or abscess, was observed on computed tomography. Exploratory laparotomy, excision of the urachus, and partial cystectomy was performed by way of a lower midline incision. Histopathologic examination identified the mass as an urachal xanthogranuloma.

Keywords: Urinary bladder, Urachus, Xanthogranulomatous pyelonephritis

REFERENCES

1. Yamamoto T, Mori Y, Katoh Y, Iguchi M, Minamidani K, Sawai Y, et al. A case of urachal xanthogranuloma suspected to be a urachal tumor. Hinyokika Kiyo. 2004; 50:493–5.

2. Carrere W, Gutierrez R, Umbert B, Sole M, Menendez V, Carretero P. Urachal xanthogranulomatous disease. Br J Urol. 1996; 77:612–3.

3. Diaz Candamio MJ, Pombo F, Arnal F, Busto L. Xanthogranulomatous urachitis: CT findings. J Comput Assist Tomogr. 1998; 22:93–5.

4. Kuo TL, Cheng C. Xanthogranulomatous inflammation of urachus mimicking urachal carcinoma. Urology. 2009; 73:443. e13-4.

5. Tian J, Ma JH, Li CL, Xiao ZD. Urachal mass in adults: clinical analysis of 33 cases. Zhonghua Yi Xue Za Zhi. 2008; 88:820–2.

6. Park S, Ji YH, Cheon SH, Kim YM, Moon KH. Urachal xanthogranuloma: laparoscopic excision with minimal incision. Korean J Urol. 2009; 50:714–7.

7. Walther M, Glenn JF, Vellios F. Xanthogranulomatous cystitis. J Urol. 1985; 134:745–6.

8. Fornari A, Dambros M, Teloken C, Hartmann AA, Kolling J, Seben R. A case of xanthogranulomatous cystitis. Int Urogy-necol J Pelvic Floor Dysfunct. 2007; 18:1233–5.

9. Kim DY, Kim HS, Kim IK, Moon I, Kim TS, Choi S, et al. Xanthogranulomatous cystitis presenting as a urachal carcinoma. Korean J Urol. 2004; 45:1180–2.

10. Han DH, Choi HJ, Kim JH, Shin JS, Chung KJ, Choi HY, et al. Xanthogranulomatous cystitis. Korean J Urol. 2004; 45:958–61.

Fig. 1.

Ultrasound of bladder shows a protruding cystic mass in bladder dome. Sagittal (A) and transverse (B) plane.

Fig. 2.

Computed tomography of the abdomen shows well enhancing mass in the anterior wall of urinary bladder. Sagittal (A) and transverse (B) plane.

Fig. 3.

Cystoscopic finding shows erythematous mass in bladder dome.

Fig. 4.

Gross finding shows an ill-defined gray white firm lesion (1.8×1.1×1.2 cm) at 4 cm apart from the resection margin. The cut surface of the mass is solid and gray white with yellow necrotic portion and focal cystic area.

Fig. 5.

Histologic finding shows granulations and many foamy, lipid laden macrophages (H&E stain; A, ×100; B, ×400).

TOOLS

Similar articles