Urachal Sinus Complicated by an Umbilical Abscess

Abstract

The urachal sinus is a vestigial remnant that ensues in the aftermath of incomplete obliteration of the embryonic urachus. Urachal sinuses often remain asymptomatic, being discovered incidentally in instances where they are complicated with a superimposed infection or abscess. Due to their rare occurrence in adults, urachal sinuses are rarely included in the list of differential diagnosis surrounding umbilical pain in adult patients. We hereby delineate a unique case of a urachal sinus in a 26-year-old male patient. Due to the presence of an abscess in a hirsute male, a presumptive diagnosis of an umbilical pilonidal sinus was suspected. However, further diagnostic workup divulged an unequivocal diagnosis of a urachal sinus complicated by an abscess formation.

Chronic umbilical abscess secondary to a patent urachus in a 30 years male: a case report

“…It can either be a two staged procedure of Incision and drainage followed by excision of tract or a single staged procedure. 12 In present case we have done a single staged procedure with closure of incision site which healed well and no recurrence was seen in follow-up. Pre-operative management is currently under standardized and there is a need for proper protocols to identify early and intervene to prevent complications.…”

Urachal sinus: An atypical case and review of the literature

“…The urachus is a tubular structure of the preperitoneal that connects the bladder dome with the umbilicus during fetal life. 1 , 2 At birth it is normally completely obliterated, remaining permeable in only 2% of adults. 1 It may persist as urachal sinus and is usually asymptomatic.…”

“… 1 , 2 At birth it is normally completely obliterated, remaining permeable in only 2% of adults. 1 It may persist as urachal sinus and is usually asymptomatic. Diagnosis should be suspected in the presence of lower abdominal pain and umbilical discharge.…”

A Rare Case of Umbilical Urachal Sinus Mimicking Infected Umbilical Abscess: A case report

“…One of them is the urachal sinus, which drains proximally into the umbilicus, accounts for 15% of cases [2,4]. The symptoms of this disease are nonspecific and can have different manifestations, such as omphalitis [1,5]. The main diagnostic way is using ultrasonography which can diagnose 77% of patients [6].…”