Management of Urachal Sinus in an Adult: A Case Report

Urachal anomalies, though rare, represent a spectrum of congenital conditions resulting from the incomplete obliteration of the urachus. These anomalies are typically identified in paediatric populations, with their occurrence in adults being uncommon and often posing diagnostic challenges. The authors present a case of a 31-year-old male who presented with intermittent abdominal pain, fever, and umbilical discharge. Imaging studies revealed an infected urachal sinus. The patient was treated with broad-spectrum antibiotics followed by surgical excision of the sinus tract. He recovered uneventfully and remained asymptomatic at follow-up. It is important to consider urachal anomalies in the differential diagnosis of umbilical discharge and abdominal pain in adults. Early diagnosis and appropriate surgical intervention are essential to prevent complications and ensure optimal patient outcomes.