[Adult urachal cyst].

Urachal Cyst pathologies comprise lesions that arise at the medial infraumblical line which is rarely seen in an adult. It has interesting and varied forms of clinical presentations which represent a diagnostic challenge for the clinician. Persistency of the Urachus is due to failure of the normal obliteration process which occurs embriologically during the 4th gestational month. This gives way to a lesion that should be taken into account while considering the differential diagnoses of the cystic pathologies of the region. We present the case of an adult woman with a Urachal Cyst, which was surgically excised at the Hospital Interamericano de Medicina Avanzada in Caguas, Puerto Rico, followed by a brief literature review.