An Unusual Case of Gross Hematuira in a Two-Year-Old Boy

Urachal cysts in children are rare with an incidence of 1 in 1,500 live births.

We present a case of a two-year-old boy who presented with hematuria, foul smelling urine, and a bladder mass, which up until histopathological examination had features strongly suggesting malignancy. On histopathological examination, a diagnosis of an infected urachal cyst was made. This case report discusses a rare presentation of an infected urachal cyst and the multidisciplinary management approach taken.