Urachal-Colo-Cutaneous Fistula in an Adult: Evolution to Spontaneous Closure after Conservative Management in a Hostile Abdomen

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Published: Dec 25, 2025
DOI: https://doi.org/10.47191/ijmscrs/v5-i12-18
Keywords:
urachus; colo–cutaneous fistula; abdominal wall surgery; urachal infection; open surgical wound

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Amaury Alejandro Flores Contreras
Residente de 4to año de Cirugía General del Hospital General de Cancún “Dr. Jesús Kumate Rodríguez”, Servicios de Salud del Instituto Mexicano del Seguro Social para el Bienestar (IMSS-BIENESTAR). &Facultad de Medicina, Universidad Autónoma de Yucatán.
María de los Ángeles Martínez Ferretiz
Servicio de Cirugía General del Hospital General de Cancún “Dr. Jesús Kumate Rodríguez”, Servicios de Salud del Instituto Mexicano del Seguro Social para el Bienestar (IMSS-BIENESTAR).

Abstract

Persistence of the urachus in adults is an uncommon condition¹,², and progression to complications such as infection, fistulization, and communication with abdominal viscera is even rarer³. We present the case of an adult male with an infected urachal remnant that evolved into a colo–cutaneous fistula, managed without negative pressure therapy due to institutional unavailability⁸. Diagnostic, therapeutic, and follow-up aspects are described, along with a review of recent literature⁴,⁵.

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How to Cite
Flores Contreras, A. A. ., & Martínez Ferretiz, M. de los Ángeles . (2025). Urachal-Colo-Cutaneous Fistula in an Adult: Evolution to Spontaneous Closure after Conservative Management in a Hostile Abdomen. International Journal of Medical Science and Clinical Research Studies, 5(12), 2049–2051. https://doi.org/10.47191/ijmscrs/v5-i12-18
Issue
Vol. 5 No. 12 (2025): Volume 05 Issue 12 December 2025
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Articles
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This work is licensed under a Creative Commons Attribution 4.0 International License.

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