# Laparoscopic Umbilicus-Sparing Excision of Symptomatic Patent Urachus in Adulthood: Case Report and a Review of the Literature

## TL;DR

A 45-year-old man with a persistent urachal issue was successfully treated with a laparoscopic surgery that preserved the umbilicus.

## Contribution

This case report presents a laparoscopic umbilicus-sparing excision technique for treating patent urachus in adulthood.

## Key findings

- Laparoscopic umbilicus-sparing excision effectively treated a symptomatic patent urachus in an adult.
- The patient experienced relief from urinary tract infections, pain, and discharge after the procedure.

## Abstract

Urachal abnormalities are infrequent pathologies characterized by the failure of obliteration of the urachal canal, resulting in a persistent fibrous cord. The initial diagnosis approach can be done with ultrasonography; however, computed tomography is considered a standard diagnostic method. The preferred method for relieving symptoms and reducing recurrence is surgical excision. This is a case of a 45-year-old man with recurrent urinary tract infections, suprapubic pain, and umbilical fetid discharge who underwent laparoscopic umbilicus-sparing excision.