A peritoneal fold bursa associated with the median umbilical fold (urachus remnant) that runs from the umbilicus to the bladder dome. This fold may develop bursal tissue where it contacts the anterior peritoneal wall.
The median umbilical fold and its peritoneal bursa are relevant in laparoscopic surgery where the fold is a landmark between the right and left paravesical fossae. Urachal remnant cysts and sinuses arise along this fold and may communicate with the umbilicus or bladder. The fold is divided in laparoscopic radical prostatectomy to access the retropubic space.
Cystic remnant of the urachus along the median umbilical fold producing a midline infraumbilical mass with potential umbilical discharge, excised laparoscopically to prevent infection.
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