{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T23:58:46Z","timestamp":1769126326978,"version":"3.49.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Urachal anomalies are rare congenital disorders, with umbilical\u2010urachal sinus being the least common subtype, accounting for approximately 0.03% of pediatric cases. Complete surgical excision is the standard treatment. While open surgery is traditionally preferred in younger children, laparoscopy is increasingly favored for older pediatric patients due to improved anatomical access and recovery outcomes. However, reports of laparoscopic management from low\u2010resource settings remain limited. A 12\u2010year\u2010old male presented with a 2\u2010week history of purulent umbilical discharge. Imaging via ultrasound and CT sinogram confirmed an umbilical\u2010urachal sinus without bladder communication. Following outpatient antibiotic therapy, the patient underwent laparoscopic en\u2010bloc excision of the umbilical\u2010urachal sinus, including the median and both medial umbilical ligaments. A triangulated left subcostal port configuration was used to complete the dissection. Postoperatively, the patient developed transient sepsis, which resolved with intravenous antibiotics. Histopathology confirmed an infected urachal sinus. At 3\u2010month follow\u2010up, he remained asymptomatic with no recurrence. Laparoscopic excision offers an effective alternative to open surgery, providing optimal anatomical visualization, cosmetic outcomes, and favorable postoperative recovery. Literature supports laparoscopy in older pediatric patients due to the longer bladder\u2010to\u2010umbilicus distance, which permits complete excision through minimally invasive means. This case demonstrates the feasibility of laparoscopic en\u2010bloc excision for umbilical\u2010urachal sinus in an older child, even in a resource\u2010limited setting without the use of advanced energy devices. To our knowledge, this is the first laparoscopic urachal sinus excision reported from Nepal. It highlights the safety, efficacy, and adaptability of minimally invasive techniques in low\u2010resource environments.<\/jats:p>","DOI":"10.1002\/ccr3.71726","type":"journal-article","created":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T02:55:36Z","timestamp":1767408936000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic En\u2010Bloc Excision of Urachal Sinus With Umbilical Ligament Complex in a Pediatric Patient: A Case Report and Review of Literature"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7031-7861","authenticated-orcid":false,"given":"Sumeet","family":"Karna","sequence":"first","affiliation":[{"name":"Department of Urology Maya Metro Hospital  Dhangadhi Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431\u2010021\u201003962\u2010y"},{"key":"e_1_2_12_3_1","first-page":"522","volume-title":"Campbell\u2010Walsh\u2010Wein Urology","author":"Martin A. 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