“…About 8 % of patients are asymptomatic, 15 and when symptomatic urachal adenocarcinomas present with haematuria, mucinuria, palpable mass, bacteriuria, umbilical or pelvic pain and weight loss. 9 , 14 , 15 , 19 Diagnosing urachal carcinoma accurately is difficult due to its histologic similarities with other adenocarcinomas and its close proximity to the bladder and colorectum. It necessitates a careful clinico-pathologic correlation and adherence to specific diagnostic criteria in order to establish a definitive diagnosis.…”