An Acute Abdomen Due to Rotation of Intestines Around Urachal Duct in a 27 Years Old Man: A Case Report

Abnormalities in the closure of the intraembryonic portion of the allatoic lumen result in urachal abnormalities. Urachal remnant diseases are rare in adults. Malignant urachal neoplasms, like adenocarcinoma which may probably occur due to metaplasia of the transitional epithelium of the urachal remnant are very rare. Surgical excision of the urachus is needed. The imaging features of the urachal abnormalities are important for correct diagnosis and surgical management. In this case we completely resect that duct and return the part of bowels to the basic situation and we send those parts to pathological labs. The congenital patent urachus is rare in adults. Further, clinical diagnosis is delayed or ambiguous in these patients due to low incidence and non-specific symptoms. So, a high index of suspicion is required in order to make the diagnosis and to prevent subsequent complications. Early detection of urachal anomalies can help optimize an appropriate surgical approach if required and reduce the risk of subsequent development of malignancy.