Table of Contents
ISRN Urology
Volume 2011 (2011), Article ID 820924, 3 pages
http://dx.doi.org/10.5402/2011/820924
Case Report

Urachal Sinus Presenting with Abscess Formation

Department of Urology, University Hospital Center Hassan II Fes, Morocco

Received 13 January 2011; Accepted 17 February 2011

Academic Editor: M. A. Salah

Copyright © 2011 Jalal Eddine El Ammari et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Urachal affections are rare. Their variable ways of presentation may represent a diagnostic challenge. Urachal sinuses are a rare type of these abnormalities. They are usually incidental findings and remain asymptomatic unless a complication (most commonly the infection) occurs. Infection of the urachal sinus would clinically present as purulent umbilical discharge, abdominal pain, and periumbilical mass. We report herein a case of infected urachal sinus in male adult. The diagnosis was suspected clinically and confirmed with ultrasonography and computed tomography scan. A preoperative cysto-fibroscopy showed normal aspect of the bladder and excluded sinus communication. An initial broad spectrum antibiotic therapy followed by complete excision of the sinus and fibrous tract without cuff of bladder has been therefore performed. The postoperative course was uneventful. No recurrence was observed after 18 months of followup. Histological examination did not reveal any sign of malignancy.