“…1 Failure to obliterate completely leads to a patent urachus/urachal remnant, which is also associated with hypospadias. 2 From a review of the literature, it appears this is the first description of a urachal remnant causing small bowel obstruction by traversing the mesentery. Other cases describe obstruction secondary to localised infection or small bowel herniation over the tight urachal band.…”