Colonic duplication in an adult who presented with chronic constipation attributed to hypothyroidism

Tihomir,; Kekez,; Goran,; Augustin, Goran; Irena,; Hrstic,; Dubravko,; Smud,; Majerovic,; Zeljko,; Jelincic,; Emil,; Kinda,

doi:10.3748/wjg.13.644

Cited by 19 publications

(15 citation statements)

References 15 publications

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“…These symptoms may be the direct effects of distension of the cystic duplication or caused by compression of adjacent organs 1 4 6 7. Four of our seven patients presented with abdominal pain, and three with symptoms of intestinal obstruction.…”

Section: Discussionmentioning

confidence: 83%

Colorectal duplication in adults: report of seven cases and review of the literature

et al. 2010

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Section: Discussionmentioning

confidence: 83%

Colorectal duplication in adults: report of seven cases and review of the literature

et al. 2010

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“…In our case the use of contrast in the Barium Enema study revealed the origin of the cystic structure and depicted the communication with the transverse colon. In difficult cases which require a multiplanar approach to delineate the relationship between the cystic and peripheral structures, CT and MRI infection or constipation (3,(6)(7)(8)(9). In one race case of combined duplication of the colon and vermiform appendix, it was presented with hydronephrotic atrophy of the kidney (10).…”

Section: Discussionmentioning

confidence: 99%

A rare presentation of colonic duplication cyst: report of a case and review of the literature.

Stefanidis¹,

Lappas²,

Kolofousi³

et al. 2012

Journal of the Belgian Society of Radiology

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Duplication cyst is an extremely rare congenital malformation of the alimentary tract. It occurs most often in the ileum, accounting for over 60% of cases followed by the jejunum and the duodenum (1). The colon is the least common site of enteric duplication. In fact, in a review of 495 alimentary tract duplications only 7% of the duplications involved the colon (2). To our knowledge less than 100 cases have been described in the published literature (3). Case reportWe present an unusual case of colonic duplication cyst in a 45-yearold Caucasian man who presented to our hospital with lumbar pain. The patient had a medical history of constipation. On admission, the patient was afebrile. Physical examination revealed a large mass in the left upper quadrant with mild diffuse tenderness and no peritoneal signs. Blood laboratory tests were within normal limits. An initial plain X-ray was performed with no abnormal findings. Ultrasonography was insignificant due to gas filled bowels. After the first inconclusive radiological exams, a contrast Barium Enema study was decided to be performed. Barium Enema showed a large air-filled tubular structure in the left upper quadrant containing an air-fluid level (Fig. 1). The same cystic structure was partially filled with contrast due to communication with the transverse colon at the splenic flexure. The shape of the cystic structure changed with peristalsis and the position of the patient oral contrast material was performed. It demonstrated a large airfilled 14 × 7 cm structure containing oral contrast in the left upper quadrant (Fig. 3). CT confirmed the findings of contrast Barium Enema study and a possible diagnosis of colonic duplication of the transverse common was concluded. A surgical intervention was decided in order to prevent complications of the colonic duplication cyst. At operation, the cyst was excised with a segment of (Fig. 2). At the same examination the gastric antrum was recognized as a smaller air-filled structure adjacent to the same tubular structure.

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“…The colon is the least common site of gastrointestinal duplications and accounts for only 6-7 % of these duplications, often located in the cecum [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…Colonic duplication is rarely encountered in adults [2] and tubular sigmoid colonic duplication is even rarer. To our knowledge, only one adult case with tubular sigmoid colonic duplication has been documented in the English literature [3].…”

Section: Introductionmentioning

confidence: 99%

Tubular Duplication of the Sigmoid Colon with Acute Abdomen: An Adult Case Report

et al. 2014

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Colonic duplication is a rare abnormality, comprising only 6-7 % of all gastrointestinal duplications and usually present during the first decade of life. Tubular duplications of the sigmoid colon are extremely rare and only a few cases have been reported in the literature. In this study, we report the case of a 27-year-old rural man visited our hospital with symptom of repeated episodes of abdominal pain in epigastric region that radiated to right flank and back. An abdominal computed tomography (CT) scan with oral and intravenous contrast revealed an extremely dilated and air-filled loop related to sigmoid colon. An exploratory laparotomy was performed and tubular sigmoid colon duplication was found intraoperatively. The postoperative period was uneventful.

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Colonic duplication in an adult who presented with chronic constipation attributed to hypothyroidism

Abstract: E. Colonic duplication in an adult who presented with chronic constipation attributed to hypothyroidism. World

Cited by 19 publications

References 15 publications

Colorectal duplication in adults: report of seven cases and review of the literature

Colorectal duplication in adults: report of seven cases and review of the literature

A rare presentation of colonic duplication cyst: report of a case and review of the literature.

Tubular Duplication of the Sigmoid Colon with Acute Abdomen: An Adult Case Report

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