# Rare presentation of urachal remnant with suprapubic sinus: A case report

## TL;DR

This case report describes a rare urachal remnant presenting as a suprapubic sinus in a child, highlighting the importance of early diagnosis and treatment.

## Contribution

The paper presents a rare clinical case of urachal remnant with an unusual presentation in a pediatric patient.

## Key findings

- Urachal remnants can present as a suprapubic sinus in children.
- A high index of suspicion is needed for timely diagnosis of unusual presentations.
- Staged surgical excision leads to favorable outcomes in infected cases.

## Abstract

Incomplete obliteration of the allantois during development gives rise to urachal remnants. Presentation is variable and can range from draining umbilicus to chronic granuloma to acute infection requiring management with antibiotics and surgical excision. High index of suspicion is required to diagnoses more unusual presentations. This is a report on a case of urachal remnant presenting as a suprapubic sinus in a pediatric patient.

•Urachal remnants can have variable presentations in pediatric patients.•Presentation and diagnosis are often delayed and require a high index of suspicion.•Staged approach to excision of infected urachal remnants is associated with good outcomes.

Urachal remnants can have variable presentations in pediatric patients.

Presentation and diagnosis are often delayed and require a high index of suspicion.

Staged approach to excision of infected urachal remnants is associated with good outcomes.