Abstract
Abstract Background: Persistent omphalomesenteric remnants are diagnosed most commonly in childhood. The condition is rare in adults with only a few cases of laparoscopic management reported thus far. Case Presentation: A 32-year-old male underwent open umbilical hernia repair without mesh at an outside hospital. He developed an abdominal wall phlegmone followed by a chronic umbilical infection. Computed tomography (CT) scan showed a tubular structure at the inner surface of the abdominal wall suggestive of a urachus cyst. During laparoscopy, the tubular structure was found to have no relation to the bladder but instead could be followed toward the small bowel originating 100 cm proximal to the terminal ileum. The chronic infected umbilical fistula was resected, and at the origin the duct was excised longitudinally and the enterotomy was closed transversely. The patient developed a superficial surgical site infection but ultimately did well. Discussion: Surgeons should be aware of this rare condition as a...
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