Abstract
Anomalies of the urachus, such as urachal cyst, albeit rare among the adult populace, pose an arsenal of myriad presentations among such age groups, leading to a high rate of misdiagnosis. Late diagnosis can predispose affected individuals to several complications such as cyst rupture, cyst infection with attending sepsis, fistula formation as well as neoplastic changes. Owing to this, a high index of suspicion is prudent for timely diagnosis. We present a case of a 48-year-old perimenopausal woman who presented to the general clinic with recurrent abdominal pain of 5 months duration with no associated symptoms. An abdominal computed tomography scan revealed a urachal cyst, which was managed surgically.