Vesicourachal Diverticulum: A Unique Case Report

Abstract

Introduction: The inadequate closure of the urachus, an embryological remnant that connects the bladder to the umbilicus, results in the rare congenital defect known as the vesicourachal diverticulum. Even though it is frequently asymptomatic, it might show up as lower abdomen discomfort, hematuria, frequent urination, and recurrent urinary tract infections. Case Report: The patient in this case study, a 38-year-old male with hematuria and right renal discomfort, had a tiny vesicourachal diverticulum discovered by accident during a CT scan. Discussion: Vesicourachal diverticulum is one of the congenital urachal remnant abnormalities, representing a result of the failure of the urachus to close at the urinary bladder, forming an out-pouching of variable length from the anterosuperior aspect of the urinary bladder, which does not communicate with the umbilicus as seen in our case. The location and size of the diverticulum might affect how symptoms appear, and in severe situations, surgery such as diverticulectomy or urachal residual resection may be necessary. For prompt and appropriate care, it is essential to comprehend the clinical presentation, diagnostic techniques, and available treatments. Conclusion: Though often benign, knowledge of the vesicourachal diverticulum helps prevent additional imaging and trials.