Obstetrics & Gynecology

Skip Navigation LinksHome > August 2013 - Volume 122 - Issue 2, PART 2 > Urachal Duct Carcinoma Complicating Pregnancy

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Obstetrics & Gynecology:
doi: 10.1097/AOG.0b013e318292a3ab
Case Report

Urachal Duct Carcinoma Complicating Pregnancy

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

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Abstract

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.

© 2013 by The American College of Obstetricians and Gynecologists.

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