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The purpose of this case report is to raise awareness of the early diagnosis and treatment of compartment syndrome in children. Late diagnosis can lead to irreversible outcomes, including myonecrosis, neurologic injury, functional problems, and even amputation. In this age group, clinical judgment may be enough to proceed with fasciotomy. © 2020 The Authors. Clinical Case Reports published by John Wiley Sons Ltd.Congenital urachal anomalies are usually asymptomatic. However, infection or obstruction of urachal re