Urachal fistula in a 22 year male: a case report

Authors

  • Vipul Kumar Srivastava Department of General Surgery, Institute of Medical Sciences, BHU, Varanasi, India
  • Shilpi Roy Department of General Surgery, Institute of Medical Sciences, BHU, Varanasi, India
  • Ram Niwas Meena Department of General Surgery, Institute of Medical Sciences, BHU, Varanasi, India
  • Rahul Khanna Department of General Surgery, Institute of Medical Sciences, BHU, Varanasi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20203813

Keywords:

Urachus, Urachal Fistula, Allantois, Umbilical sinus

Abstract

A patent urachus is one of the spectrums of congenital urachal anomalies. It has been termed as "urachal fistula" when the lumen of intra-embryonic portion of allantois persist abnormally.  Persisting urachal fistula is a rare condition mostly diagnosed during childhood or in autopsies. Here we report a very rare case of urachal fistula of a young male. We present a case of 22 years male with intermittent periumbilical pain and sero-purulent discharge from umbilicus since birth. On examination sero-purulent discharging umbilical sinus with granuloma was present. Surgical excision of whole of the urachal fistulous tract was done with repair of bladder. Patient did well during post-operative period. Persisting urachal fistula in adult is rare entity and difficult to diagnose because of low incidence and non-specific symptoms. So a high index of suspicion is required in order to make the early diagnosis of urachal anomalies.

 

Author Biographies

Vipul Kumar Srivastava, Department of General Surgery, Institute of Medical Sciences, BHU, Varanasi, India

Junior Resident III

Department of General Surgery

Shilpi Roy, Department of General Surgery, Institute of Medical Sciences, BHU, Varanasi, India

Senior Resident

Department of General Surgery

Ram Niwas Meena, Department of General Surgery, Institute of Medical Sciences, BHU, Varanasi, India

Associate Professor

Department of General Surgery

Rahul Khanna, Department of General Surgery, Institute of Medical Sciences, BHU, Varanasi, India

Professor and Ex- HOD

Department of General Surgery

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Published

2020-08-27

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Section

Case Reports