PMC5327613_01
Computed tomography of the abdomen showing an irregular mass seen superior to fundus of urinary bladder appearing adherent to mesentery and bowel loops
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F1
Computed tomography scan of the abdomen revealed an irregular mass seen superior to fundus of urinary bladder appearing adherent to mesentery and bowel loops and suggested an urachal remnant associated lesion with infiltration Figure 1.
Excised mass
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F2
Excision of the mass with partial cystectomy and resection of involved ileal segments was done Figure 2.
Photomicrograph showing high power view of H and E section of actinomycotic colonies surrounded by microabscesses
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F3
After adequate sampling, sections from the urachal remnant revealed actinomycotic colonies surrounded by microabscesses and dense inflammatory fibrotic lesion Figure 3.