title: Urachal fistula presenting as umbilical sepsis: a rare case in an adult male.
abstract: BACKGROUND
  Urachal anomalies are rare normally presenting during childhood. They are difficult to diagnose and surgical treatment is always needed to prevent recurrence.
  
  
  METHODS
  A 28 year old male presented with a red tender umbilical swelling that was confused with an umbilical hernia. The correct diagnosis of a urachal fistula was reached after performing a CT scan. The patient was initially treated with oral antibiotics and complete surgical excision of the fistulous tract was carried out at a later stage after controlling the infection.
  
  
  CONCLUSIONS
  Staged resection is the treatment of choice in urachal anomalies associated with sepsis. Surgical excision of the urachal remnant is necessary to prevent recurrence.
authors.affiliation: Newham General Hospital, Glen Road, London, UK. hishamhurreiz@yahoo.co.uk
authors.forename: Hisham
authors.initials: H
authors.lastname: Hurreiz
authors.forename: Irshad
authors.initials: I
authors.lastname: Hussain
authors.forename: Ishrak
authors.initials: I
authors.lastname: Hamo
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005402:Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006554:Hernia, Umbilical / Q000175:diagnosis; D006801:Humans; D008297:Male; D018805:Sepsis / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D014472:Umbilicus; D014497:Urachus / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery