Patent urachus with methicillin-resistant coagulase negative staphylococcal sepsis in a 23 days old neonate


  • Sneh Sonaiya Department of General Surgery, Government Medical College Baroda and S. S. G. Hospital, Vadodara, Gujarat, India
  • Shivani Chaudhary Department of General Surgery, Government Medical College Baroda and S. S. G. Hospital, Vadodara, Gujarat, India



Patent urachus, Umbilical sepsis, MR-CoNS


A remnant of the umbilical arteries, urachus, is a transverse structure lying between the peritoneum and the fascia transversalis. Urachus results from the involution of the embryonic duct and the ventral cloaca. The Urachus drains the bladder of the fetus by running within the umbilical cord. Usually, during embryonic development, the urachal tract obliterates. Failure of complete obliteration of the urachus, which is reported to be present in approximately 30% of adults, can lead to several abnormalities of the urachus. Common abnormalities of the urachus include - urachal cyst, diverticulum, umbilical sepsis, or patent urachus. This is a case report of a 23 days old female neonate who presented to us with complaints of fever for 11 days and umbilical discharge for 4 days. Clinical, microbiological, and radiological examinations revealed patent urachus with Methicillin-resistant coagulase-negative staphylococcal (MR-CoNS) umbilical sepsis. It is a rare condition that requires management with higher antibiotics based on culture and sensitivity tests.


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