case_images: PMC3543948_01
case_images: Contrast-enhanced computed tomography of the abdomen showing a smooth-walled, non-septate, and cystic lump measuring 5 x 5 cm (arrow).
case_images: kjim-28-103-g001.jpg
case_images: PMC3543948_01_kjim-28-103-g001.jpg
case_images: F1
case_images: Contrast-enhanced computed tomography (CT) of the abdomen was suggestive of a smooth-walled, cystic mass measuring 5 x 5 x 6 cm, located above the bladder (Fig. 1).
case_images: (A) At exploration, the mass was superior to the urinary bladder. (B) White pultaceous material was seen on incising the mass. (C) The mass was separated from the urinary bladder.
case_images: kjim-28-103-g002.jpg
case_images: PMC3543948_01_kjim-28-103-g002.jpg
case_images: F2
case_images: With gentle blunt and sharp dissection, the mass was separated from the bladder and could be excised en bloc (Fig. 2).
case_images: (A) Photomicrograph showing the urothelial lining (arrow) and a granuloma (dashed arrow) (H&E, x 10). (B) Multiple epitheloid cells, lymphocytes, caseation, and an occasional Langhans giant cell, suggesting tuberculosis (H&E, x 10).
case_images: kjim-28-103-g003.jpg
case_images: PMC3543948_01_kjim-28-103-g003.jpg
case_images: F3
case_images: On histopathological examination, urothelium was found along with multiple granulomas, caseation, and epitheloid and Langhans cells, suggestive of urachal tuberculosis (Fig. 3).