Atypical Presentation of a Urachal Carcinoma as an Enterocutaneous Fistula

Urachal carcinoma is a rare and aggressive tumor, involving the urachus and the bladder. Symptoms of urachal carcinoma usually appear at later stages of the disease; therefore, these tumors are diagnosed in advanced stages, providing limited options for curative treatment. We report the clinical cas...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-03, Vol.14 (3), p.e23697
Main Authors: Martins, Ana Rita, Frazão, Joana, Nogueira, Sara, Godinho, António
Format: Article
Language:English
Subjects:
Abdomen
Bladder
Cancer therapies
Case reports
Chemotherapy
Colon
Colonoscopy
Fistula
Gastroenterology
General Surgery
Hematuria
Ligaments
Lymphatic system
Medical imaging
Medical prognosis
Metastasis
Patients
Surgery
Tumors
Urology
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Summary:Urachal carcinoma is a rare and aggressive tumor, involving the urachus and the bladder. Symptoms of urachal carcinoma usually appear at later stages of the disease; therefore, these tumors are diagnosed in advanced stages, providing limited options for curative treatment. We report the clinical case of a 60-year-old man with a urachal carcinoma which presented as a mass of the abdominal wall invading the transverse colon, creating an enterocutaneous fistula. The patient underwent an en-bloc resection of the mass, segmentary resection of the transverse colon, and partial cystectomy.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.23697