From Hernia to Urachal Remnant: A Report of an Unusual Case of a Young Adult

Urachal sinus is an uncommon condition in the adult population. It is most often diagnosed incidentally in children and typically presents with symptoms in adults only when associated with infection. The clinical presentation is nonspecific, frequently leading to misdiagnosis as other abdominal pathologies. Current literature supports the use of antibiotic therapy followed by complete surgical resection of the urachal sinus due to its potential risk of progression to bladder adenocarcinoma. This report presents a case of an adult patient with abdominal pain and umbilical discharge who was ultimately diagnosed with a urachal remnant based on histopathological findings. Following appropriate antibiotic therapy and complete surgical excision, the patient showed marked clinical improvement.