Development of a Leaking Urachal Fistula in A BPH Patient with Recurrent Acute Urinary Retention: A Case Report

FE is a 65yr old retired civil servant who developed lower urinary tract symptoms associated with recurrent acute urinary retentions relieved each time by urethral catheterization. In one episode he started leaking urine from the umbilicus. A fistulogram outlined an irregular fistulous cavity in the lower anterior abdominal wall. Patient had excision of the fistulous tract and communication with bladder sealed. He had uneventful post operative recovery and is being worked up for open simple prostatectomy for his large prostate.

Urachal fistula in a 22 year male: a case report

A patent urachus is one of the spectrums of congenital urachal anomalies. It has been termed as "urachal fistula" when the lumen of intra-embryonic portion of allantois persist abnormally. Persisting urachal fistula is a rare condition mostly diagnosed during childhood or in autopsies. Here we report a very rare case of urachal fistula of a young male. We present a case of 22 years male with intermittent periumbilical pain and sero-purulent discharge from umbilicus since birth. On examination sero-purulent discharging umbilical sinus with granuloma was present. Surgical excision of whole of the urachal fistulous tract was done with repair of bladder. Patient did well during post-operative period. Persisting urachal fistula in adult is rare entity and difficult to diagnose because of low incidence and non-specific symptoms. So a high index of suspicion is required in order to make the early diagnosis of urachal anomalies.

A rare case of a diverticular perforation associated with colo-urachal fistula presenting as anaphylaxis

Diverticular disease is a common clinical condition among Western populations, which increases with age. It can present in a variety of manners and has myriad of potential disease complications. We present a rare case of an adult patient with an extraperitoneal complications of a diverticular perforation presenting with facial swelling due to a colo-urachal fistula associated with a patent urachal remnant. Perforation should be considered in patients presenting with surgical emphysema with background of diverticular disease.

Urachal-sigmoid fistula associated with diverticular disease

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.