Tubo-ovarian abscess: A potential mimicker of urachal malignancy

Sajya M Singh; James L Liu; Farzad Sedaghat; Stephanie L Wethington; Chady Atallah; Max Kates

doi:10.1016/j.eucr.2022.102191

Tubo-ovarian abscess: A potential mimicker of urachal malignancy

Urol Case Rep. 2022 Aug 18:45:102191. doi: 10.1016/j.eucr.2022.102191. eCollection 2022 Nov.

Authors

Sajya M Singh¹, James L Liu¹, Farzad Sedaghat², Stephanie L Wethington³, Chady Atallah⁴, Max Kates¹

Affiliations

¹ The James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
² The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
³ Department of Gynecology and Obstetrics, The Kelly Gynecologic Oncology Service, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
⁴ Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Abstract

Urachal cancer is a rare but aggressive malignancy. A urachal mass concerning for adenocarcinoma was identified in a 32-year-old G2P1 female on 12-week ultrasound and confirmed on pelvic MRI. Due to progressive growth of the mass and refractory abdominal pain, a multi-disciplinary meeting was held, after which the patient chose to undergo an exploratory laparotomy. A tubo-ovarian abscess was identified involving the intestine, right ovary, fallopian tube, and communicating with a patent, necrotic urachus. This is the first reported case of a tubo-ovarian abscess masquerading as a urachal malignancy, which can present similarly with abdominal pain and irritative urinary symptoms.

Keywords: Pelvic inflammatory disease; Pregnancy; Tubo-ovarian abscess; Urachal malignancy.

Publication types

Case Reports