Association of anorectal malformation with duplicated colon, sacral meningomyelocele and scrotal anomalies

Singh, Sunita; Ahmed, Intezar; Rawat, Jiledar; Panday, Anand

doi:10.1136/bcr.12.2010.3632

Cited by 3 publications

(6 citation statements)

References 14 publications

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“… 17 The sphincteric fibers (puborectalis) and the fibers of pelvic diaphragm develop from the local mesoderm, simultaneous to the developing ectodermal anorectum which finally fuse to form a continuous channel. 4 Duplication would permit the mesenchymal tissue to interdecussate between the two moieties, leading to chances of an inadvertent injury to these fibers if not detected preoperatively. MRI excluded the presence of any such redundant intervening tissue, an injury to which could have caused continence issues ( Fig.…”

Section: Discussionmentioning

confidence: 99%

“…Further detection of an associated malformations such as bladder duplication, spinal dysraphism, anorectal malformation (not seen in this case), by MRI, can enable one to plan concomitant corrections. 4 …”

Section: Discussionmentioning

confidence: 99%

“… 2 Three-fourth of all the cases of colonic duplication have a duplication cyst at the mesenteric border while one-fourth have a tubular duplicated moiety which may or may not communicate with the adjacent native bowel. 3 In either scenario, most cases remain asymptomatic, however a larger subset of cases of tubular duplication present with pain and obstruction, 4 as a result of the combined effect of poor propulsive action of bowel muscularis and formation of fecoliths in either moiety. 5 In cases of tubular duplication, diagnosis is mostly evident on clinical grounds as both moieties have a perineal communication.…”

Section: Introductionmentioning

confidence: 99%

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Systematic Imaging Module in Complete Hindgut Duplication

Verma

Gupta

Pandey

et al. 2015

European J Pediatr Surg Rep

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Complete hind gut and anal canal duplication is a rare entity, usually remaining asymptomatic till the disease comes to light due to associated anomalies or due to cosmetic reasons. Classical imaging consisting of barium enema examination served a limited role, in terms of depicting the length of gut segment involved. Technical advances in magnetic resonance imaging (MRI) with three-dimensional (3D) reformations cannot only solve the above purpose but further evaluate key points needed for surgical planning. The present technical report lays out a systematic module for evaluation of various aspects of complete hindgut duplication, critical for management. The role of 3D MRI is emphasized upon, for evaluation of pelvic floor and anorectum, even in infants with a distorted anatomy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Systematic Imaging Module in Complete Hindgut Duplication

Verma

Gupta

Pandey

et al. 2015

European J Pediatr Surg Rep

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“…Several authors describe the high association of this type of anomalies with genitourinary or lower vertebral column, such as prostatorectal fistula, anorectal or scrotal abnormalities and myelomeningocele. [ 7 8 ]…”

Section: Discussionmentioning

confidence: 99%

“…With regard to proposed surgical techniques, most of the authors prefer a complete excision of the duplicated tract,[ 8 ] although some authors support the creation of a common channel, using mechanical sutures for the common wall resection to avoid the accumulation of fecal material in the duplicated gut, as was described by Yucesan. [ 11 ] In our case however, this technique could not be used since the ischemic and inflammatory component of the duplicated gut clearly required the excision of the piece.…”

Section: Discussionmentioning

confidence: 99%

Acute abdomen secondary to complete tubular colonic duplication

Castejón-Casado¹,

Em²,

Mg³

et al. 2014

J Indian Assoc Pediatr Surg

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Complete Colonic Duplication and Perineal Fistula: Transanal Mucosectomy of the Ectopic Rectum

Duess

Zimmermann

Hirsch³

et al. 2022

European J Pediatr Surg Rep.

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Background Colonic duplication may present in different anatomic variants. The surgical approach towards these anomalies can be challenging and has implications for subsequent future continence. Case Description We report on a 1-year-old girl with congenital heart defect and pacemaker who was referred to us with an anorectal malformation. The patient was stooling from both an anus and a perineal fistula. Examination under anesthesia revealed an orthotopic and age-appropriate sized anus with surrounding sphincter and a second rectal lumen ending as a perineal fistula. A computed tomography and contrast enema indicated colonic duplication. Exploratory laparotomy showed a duplicated terminal ileum leading to two ceca and appendices, which joined to a duplicated colon with a septum and common mesentery. At the rectosigmoid junction, one part of the duplication ended as a perineal fistula, the second one led to the (orthotope) anus. The common colonic wall was divided using a stapler. The rectal duplication leading to the perineal fistula was not completely resected but treated by mucosectomy only (Soave plane) leaving its muscular cuff in place. Finally, an ileostomy was created. The postoperative course was uneventful. A contrast enema prior to ostomy takedown demonstrated a well-configurated colon and rectum without stenosis or impaction. The girl is currently continent with a complete resolution of her constipation. Conclusion In cases of complete colonic duplication division of the common wall is simple and safe. Mucosectomy of the ectopic rectum limits pelvic dissection and preserves the entire muscular wall of the duplicated orthotope rectum.

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Association of anorectal malformation with duplicated colon, sacral meningomyelocele and scrotal anomalies

Cited by 3 publications

References 14 publications

Systematic Imaging Module in Complete Hindgut Duplication

Systematic Imaging Module in Complete Hindgut Duplication

Acute abdomen secondary to complete tubular colonic duplication

Complete Colonic Duplication and Perineal Fistula: Transanal Mucosectomy of the Ectopic Rectum

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