Abstract

Introduction:
Congenital prepubic sinus (CPS) is a rare congenital abnormality in the urinary tract
in the form of remnant ducts that extend from skin openings near the pubic
symphysis to various areas. Due to its anatomical and pathological variation, the
clinical manifestation of this condition has a wide spectrum. This paper shows one of
the youngest reported cases of CPS that was successfully treated with surgery. This
paper aims to elucidate and provide the current literature review in order to increase
awareness towards CPS diagnosis in general practitioners, pediatricians, and
surgeons.

Case report:
Here we present a 2-months-old female baby with a CPS that presented a purulent
discharge and recurrent abscess from an opening since birth. Prior to surgery, the
patient had visited multiple health care provider until a definitive diagnosis of CPS
could be established, which was followed by the administration of topical antibiotic
prior to surgery. The condition was diagnosed through abdominal CT imaging and
treated with a simple surgical technique aided with methylene blue dye.

Conclusion:
Clinicians should consider the differential diagnosis of congenital anomaly such as
CPS in a patient presenting with purulent discharge or erythema from accessory
meatus in the pubic region.

Key words: Congenital Prepubic Sinus, CPS, Pediatric congenital anomaly, Pediatric surgery