Purpose or Case Report: The urachus is a connection between the early fetal bladder and the allantois that functions to remove nitrogenous waste through the umbilical cord and placenta during gestation. During fetal development or early in the neonatal course, the urachus typically obliterates. Failure to obliterate can result in an abnormal persistence of an embryonic urachal remnant of multiple subtypes, including a patent urachus which has a completely patent lumen between the bladder and umbilicus. Recent studies support initial conservative management over prophylactic surgical excision of pediatric urachal anomalies, even in symptomatic cases, with the conservative approach becoming increasingly favored, especially in children 6 months to 1 year of age, where spontaneous resolution and involution are likely. We present the case of a 60 days old infant who initially presented with bloody umbilical discharge and ultrasound findings of a patent urachus.
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