Solid Tumors of the Urachus

Articles on urachal cysts are published not infrequently and abdominal surgeons are fully aware of the importance of this condition. On the other hand, the occasional development of solid tumors has not been sufficiently appreciated. The occurrence of a case of the latter kind in my private practice has led me to look up the literature and find out just how many such growths have been reported. REPORT OF CASE History. —M. K., a woman, aged 43, was referred to me by Dr. Caleb Athey because of lower abdominal pain and irregular menstrual bleeding. Her family history was unimportant. She had had eleven pregnancies with normal deliveries. There was no history of urinary or gastro-intestinal trouble. Her menstrual periods, until the onset of the present trouble, had occurred regularly, lasting four days and unaccompanied by pain. For six months the menses had occurred twice a month; they had been more