INFECTED URACHAL CYST IN AN ADULT

Urachus is a tubular formation originating from the top of urinary bladder and directed to umbilicus between peritoneum transverse fascia abdomen. In an embryo, it serves divert primary urine amniotic fluid. case, if obliteration duct does not occur until birth, various pathological processes can develop in it. The most common abnomalies urachus reported adults are infected urachal cyst carcinoma. These diagnoses always easy make due atypical symptoms their manifestation rarity these diseases - just two cases per 100,000 hospitalizations adults. A 22-year-old man with subcutaneous abscess anexternal fistula located theumbilical region redness surrounding skin. 16 hours after dissection drainaging abscess, patient’s condition worsened, pain lower parts abdomen began, muscle tension anterior abdominal wall inflammatory changes blood tests were revealed. patient was operated on for peritonitis. two-chambered «hourglass» type, dense consistency calculus one cavities, which perforated into cavity This clinical case great interest point view course treatment rather rare anomaly publication will remind emergency medicine physicians about possibility patients acute