Hajrah Hilal Ahmed, Muhammad Jamaluddin.
Infected urachal cyst in an adult male: a rare entity.
Pak J Surg Jan ;35(1):98-101.

The urachus is an embryologic remnant which in adults attaches the bladder dome to the umbilicus and degenerates aft er the birth and presents as the midline umbilical ligament. Defective obliteration of the urachus ends up in urachal abnormalities. Urachal cyst is an uncommon clinical condition that is typically symptomless. It is one amongst a spectrum of urachal abnormalities most commonly found in children. They are seldom seen in adults. It is diagnosed via ultrasonography and computed tomography. However, in some cases, the diagnosis is made by means of surgical exploration and histopathological analysis. We report a case of infected urachal cyst on a male patient aged 23 years who had a complaint of swelling over umbilicus with transparent fluid leakage for 20 days. There was no previous history of any surgical intervention. Preoperative evaluation included ultrasound. Patient underwent laparotomy, excision of the tract along with the cuff of the bladder and umbilicus was done.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com