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Urachal Duct Carcinoma Complicating Pregnancy

McNally, Leah MD; Osmundson, Sarah MD; Barth, Richard MD; Chueh, Jane MD

doi: 10.1097/AOG.0b013e318292a3ab
Case Report

BACKGROUND: Degenerating myomas are common explanations for pain associated with abdominal masses in pregnancy. However, masses arising from other pelvic organs should be included in the differential diagnosis.

CASE: We present a case of an abdominal mass in pregnancy that was originally misdiagnosed as a uterine leiomyoma. Attention to the patient's history along with judicious use of imaging modalities led to the correct diagnosis of urachal duct carcinoma. This was treated appropriately and resulted in a term vaginal delivery. We present a review of the literature on this tumor and its management in pregnancy.

CONCLUSION: Urologic malignancies are rare but should be considered in the differential diagnosis for any woman presenting with pain and an abdominal mass in pregnancy. A multidisciplinary approach optimizes outcomes.

Although rare, urologic malignancies should be considered in the differential diagnosis for any woman presenting with pain and an abdominal mass in pregnancy.

Departments of Obstetrics and Gynecology and Radiology, Stanford University, Stanford, California.

Corresponding author: Leah McNally, MD, 300 Pasteur Drive, Rm.G333, Stanford, CA 94305-5317; e-mail: Leahm1@stanford.edu.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2013 by The American College of Obstetricians and Gynecologists.