Background: Urachal anomalies rarely present in adulthood. We report thesecond known case of urachal-sigmoid fistula associated with diverticulardisease.Method: We performed a case report and literature review. We searchedMEDLINE and PubMed using the search words “urachus,” “urachal fistula,”“sigmoid colon” and “diverticulosis.”Results: Our literature review revealed 1 previous report of urachal-sigmoidfistula associated with diverticular disease. We reviewed other publications withrespect to pathophysiology, diagnosis and management of urachal disease.Conclusion: Urachal disease that presents in an adult is usually the result of somecomplication of a urachal anomaly. Various modes of imaging may help confirmthe diagnosis, although CT sinography has been recommended and waskey in the present case. Management includes eradication of infection and, usually,surgical intervention.
URACHAL FISTULA
