Abstract
Introduction: Urachal cyst is very rarely seen in adults. They are normally obliterated in early infancy. Urachal abnormalities are more common in children.
Case Presentation: We describe a case of a 3O year old male who presented with a
tender, midline, infraumbilical mass and purulent umbilical discharge. Diagnosis of an infected umbilical sinus was made. He was treated initially with broad spectrum antibiotics, surgery was done after the infection subsided .Histology of the excised fibrous tract showed chronic inflammation with no evidence of malignancy. Postoperative recovery was uneventful.
Conclusion: Urachal abnormalities are rare in adults. Clinical presentation is non-specific, therefore, a high index of suspicion is required in order to make the diagnosis. When diagnosed, surgical excision is advised because of the risk of malignant transformation.
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Corresponding Author
Dr Rajeev.N. (MS)
Dr B.R.Ambedkar Medical College
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