Uncommon Location of an Urachal Cyst-A Case Report

Umbilicus is gateway of physiologically and anatomically different body structure in intrauterine period, urachus is one of them. Urachal cysts are extremely rare and even more uncommon in adults, as it is usually diagnosed in children. Diagnosis remain herculean in adults because of nonspecific symptoms, rarity of lesion and a wide umbilical pathologies as a differential diagnosis. We presenting a case of an adult 20 years old girl with on and off abdomen pain for few years, presenting to us with chief complaint of burning micturition. Radiological and laboratory investigations and surgical finding lead us to diagnosis of urachal cyst. Patient had no history of any umbilical discharge, considering her age and cyst location, urachal anomalies were kept as rare differential diagnosis. In this case location of cyst was atypical, therefore high index of suspicion and knowledge of umbilical anatomy and related pathologies is needed to achieve a diagnosis. Complete surgical excision is the treatment of choice.