Urachal Bladder Mass Presenting as a Colovesical Fistula

Abstract

The urachus is an embryonic remnant of communication between the bladder and the umbilicus. It usually obliterates and becomes a fibrous cord, but the incomplete obliteration or partial recanalization leads to the development of anomalies such as urachal cyst or patent urachus. This case presents itself differently which makes it an important learning experience for the clinician. This is a case of a 41 year old male who initially treated as a bladder tumor which turned out to be a urachal remnant. Upon further investigation, due to persistence of symptoms, led to diagnosing the patient with a urachosigmoid fistula who then underwent corrective surgery. With deeper understanding of the disease, we could diagnose and treat similar patients more effectively in terms of cost spent, time rendered and proper treatment.