BACKGROUND: Urachal anomalies are rare normally presenting during childhood. They are difficult to diagnose and surgical treatment is always needed to prevent recurrence. CASE REPORT: A 28 year old male presented with a red tender umbilical swelling that was confused with an umbilical hernia. The correct diagnosis of a urachal fistula was reached after performing a CT scan. The patient was initially treated with oral antibiotics and complete surgical excision of the fistulous tract was carried out at a later stage after controlling the infection. CONCLUSIONS: Staged resection is the treatment of choice in urachal anomalies associated with sepsis. Surgical excision of the urachal remnant is necessary to prevent recurrence.
BACKGROUND:Urachal anomalies are rare normally presenting during childhood. They are difficult to diagnose and surgical treatment is always needed to prevent recurrence. CASE REPORT: A 28 year old male presented with a red tender umbilical swelling that was confused with an umbilical hernia. The correct diagnosis of a urachal fistula was reached after performing a CT scan. The patient was initially treated with oral antibiotics and complete surgical excision of the fistulous tract was carried out at a later stage after controlling the infection. CONCLUSIONS: Staged resection is the treatment of choice in urachal anomalies associated with sepsis. Surgical excision of the urachal remnant is necessary to prevent recurrence.