Urachal remnants presenting as an umbilical sinus in middle age: a rare case report

Authors

  • Shruthi Karishma Department of General surgery, Rajarajeswari Medical College Hospital, Bangalore, Karnataka, India
  • S. J. Haridarshan Department of General surgery, Rajarajeswari Medical College Hospital, Bangalore, Karnataka, India
  • S. Rajagopalan Department of General surgery, Rajarajeswari Medical College Hospital, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20175921

Keywords:

Omphalectomy, Sinogram, Urachus, Umbilical sinus, Vitello-intestinal duct

Abstract

Urachal sinus is a rare type of Vitello intestinal duct anomalies. Clinical presentation is that of persistent umbilical discharge. It is usually seen in paediatric age group. Moreover, they have a different course in adults than paediatric age group in which they frequently involute and have a benign course. These remnants are prone to infection and development of malignancy. A proper diagnostic workup by clinical and imaging tools is required. Early removal of urachal remnants at first diagnosis is key for preventing future morbidities. In our case, all the three remnants (Vitello intestinal duct, urachus and ligamentum venosum) were found in a middle-aged patient and hence is unusual and a rare presentation.

References

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Published

2017-12-26

Issue

Section

Case Reports