Anterior Anorectocolonic Tubular Duplication Presenting as Rectovestibular Fistula in an Infant

Kim, Ja‐Yeon; Youn, Joong Kee; Kim, Soo-Hong; Kim, Sujeong; Jung, Sung-Eun; Park, Kwi-Won

doi:10.13029/jkaps.2017.23.2.55

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Аноректальні дуплікації становлять 5% усіх подвоєнь ШКТ. Вони являють собою тубулярні подвоєння, які з'єднані з ТК дистальними норицями / норицею, закінчуються в сечостатеву систему або на промежину і відкриваються допереду від прямої кишки (ПК) та позаду сечового міхура і піхви [6,9,25].…”

Section: оглядиunclassified

“…Серед них -неповне відокремлення моновулярних близнюків; пошкодження каудальної клітинної маси, до 23-25 діб розвитку ембріона; аномальне прилягання між ектодермою та ентодермою. Дотепер жодна з теорій не може повністю пояснити усі типи подвоєння ШКТ, через те що в його формуванні можуть брати участь багато різних факторів [9,19,23].…”

Section: клінічний випадокunclassified

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Surgical treatment of complete tubular doubling of the colon associated with congenital anorectal malformation - rectovestibular fistula and anomalies of the urogenital system

Джам¹,

Sliepov²,

Soroka³

2023

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Doubling of the colon is a rare, complex congenital anomaly, both in terms of diagnosis and in the choice of treatment tactics. Patients with this pathology need a thorough comprehensive examination to determine the type of doubling (cystic, diverticular or tubular) and to diagnose possible associated malformations, in particular, the genitourinary system. Anorectal duplications in most cases are tubular doublings that end in distal fistula / fistula on the perineum, or in the genitourinary system. Surgical treatment of this malformation requires a differentiated approach for each patient. Until now, various methods of surgical correction of this defect are used: dissection of the common wall, resection of only the duplicate section, resection of both parts of the double colon, mucosectomy of the duplicate intestine. Their main task is to maximize the anatomical integrity of the colon, with adequate blood supply. In the postoperative period, patients definitely need constant monitoring and rehabilitation treatment. Purpose - to analyze the methods of correction of this defect and evaluate their effectiveness; to present a case of our own staged surgical treatment of complete tubal doubling of the TC associated with congenital anorectal malformation - rectovestibular fistula and anomalies of the genitourinary system. Our proposed phased surgical treatment of complete tubular doubling of the colon, with rectovestibular fistula, allowed to normalize of the motor-evacuatory function of the formed main intestine and the retaining function of the anal sphincter apparatus with good functional results. The study was conducted in accordance with the principles of the Declaration of Helsinki. Informed consent from the child’s parents was obtained for the research. No conflict of interests was declared by the authors.

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Section: оглядиunclassified

Section: клінічний випадокunclassified

Surgical treatment of complete tubular doubling of the colon associated with congenital anorectal malformation - rectovestibular fistula and anomalies of the urogenital system

Джам¹,

Sliepov²,

Soroka³

2023

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Rectal Duplication Cyst Mimicking Rectal Prolapse

Ahmad¹,

Karar²,

Saleem³

et al. 2021

J. Bahria Univ. Med. Dent. Coll.

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Gastrointestinal tract duplications are rare congenital malformations that are benign, presenting usually in childhood. Most common sites include the distal ileum and oesophagus. Rectal presentation is quite uncommon and is usually cystic. This is a case of a three year old boy who came with rectal prolapse. On further examination and imaging investigations a presacral cyst was located and a diagnosis of rectal duplication was made. The cyst was completely excised by a posterior sagittal approach.

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Anterior Anorectocolonic Tubular Duplication Presenting as Rectovestibular Fistula in an Infant

Cited by 2 publications

References 10 publications

Surgical treatment of complete tubular doubling of the colon associated with congenital anorectal malformation - rectovestibular fistula and anomalies of the urogenital system

Surgical treatment of complete tubular doubling of the colon associated with congenital anorectal malformation - rectovestibular fistula and anomalies of the urogenital system

Rectal Duplication Cyst Mimicking Rectal Prolapse

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