An infected urachal cyst forming an abscess: A case report

Urachal cysts are conditions present at birth that usually occur in children. This disease is very rare in adults. Approximately 35% of patients present with complaints of lower abdominal pain, signs of urinary tract infection, painful lumps in the abdomen, and hematuria. Here we present a case of A 27 year old woman came to the emergency unit with a lump in her stomach since 3 months before admitted to the hospital, located in the lower abdomen, the initial lump was the size of a marble, it got bigger over time and the patient felt feverish. The lump size was the size of a fist and burst open releasing pus and blood. This patient was diagnosed using CT-scan and Ultrasonography. This patient did not undergo any treatment, and chose to go home resulting in a loss to follow up. Urachal residual disease is a rare and manifests with nonspecific abdominal or urinary tract signs and symptoms. Although rare, disorders of the urachus can take the form of acute, life-threatening infections or malignant degeneration. It is important to carry out an accurate diagnosis and appropriate treatment. Urachal anomalies are rare in adults and often undiagnosed due to their nonspecific clinical course. Early diagnosis using several modalities such as ultrasonography and CT-Scan can help in planning an appropriate surgical intervention, thereby reducing morbidity.