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Scholars Journal of Medical Case Reports | Volume-14 | Issue-06
A Case Report of Urachal Abscess: A Rare Differential in Adult Abdominal Pain
A. El Boukhary, S. Souad, B. Slioui, S. Bellasri, N. Hammoune, M. Atmane, A. Mouhsine
Published: June 4, 2026 |
10
5
Pages: 1385-1387
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Abstract
The urachus is a vestigial embryological remnant that typically obliterates after birth. Persistence of this structure can lead to urachal anomalies, which are uncommon in adults and often present diagnostic challenges. We report a case of a 62-year-old male presenting with an infected urachal cyst complicated by abscess formation. Contrast-enhanced computed tomography (CT) imaging revealed a large, complex fluid collection in the space of Retzius, consistent with an infected urachal cyst. This case highlights the importance of considering urachal anomalies in the differential diagnosis of midline infraumbilical masses in adults and discusses the diagnostic and therapeutic approach.