Presentation
Severe periumbilical pain with discharge.
Patient Data
A cystic lesion is distinguished by a wall that is substantially thick. beneath the umbilicus measures about 15 x 18 mm with perilesional inflammatory changes.
Blind dilatation of the urachus at the umbilical end without extension to the bladder.
Case Discussion
The patient presented with complaints of swelling and erythema around the umbilical region, purulent discharge from the umbilicus, mild fever, and abdominal pain.
The urachus, if not obliterated, can lead to the formation of a sinus that may become infected due to obstruction or bacterial colonization.
Differential diagnosis include:
umbilical granuloma
other forms of abdominal wall infections
umbilical pilonidal sinus
If left untreated, complications may arise including abscess formation, peritonitis, or chronic sinus formation.
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