PERSISTENT URACHUS PRESENTING AS AN UMBILICAL GRANULOMA

A 16 yrs old boy came to surgical op with complaints of pain and discharge from the umbilicus for 4days. Swelling and redness over the umbilicus for 4days. On examination umbilicus indurated tender on palpation, 1x1cm granulation tissue protruding through the umbilicus with minimal discharge. he was evaluated relevant investigations were done, USG abdomen shows normal study, patient planned for exploration, we found a rare finding of persistent urachus connected between umbilicus and dome of bladder. Whole tract was traced and excised with cuff of bladder. Detailed discussion regarding this case as follows.