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Urachal anomalies rarely present in adulthood. We report thesecond known case of urachal-sigmoid fistula associated with diverticulardisease.Method: We performed a case report and literature review. We searchedMEDLINE and PubMed using the search words "urachus," "urachal fistula,""sigmoid colon" and "diverticulosis."Results: Our literature review revealed 1 previous report of urachal-sigmoidfistula associated with diverticular disease. We reviewed other publications withrespect todoi:10.5489/cuaj.40 fatcat:yswqn2rqirh77fsdgmaebwqiae