Complete tubular duplication of colon in an adult: a rare cause of colovaginal fistula

Jung, Hae Il; Lee, Hyoung Uk; Ahn, Tae Sung; Lee, Jong Eun; Lee, Hyun Yong; Mun, Seong Taek; Baek, Moo Jun; Bae, Sang Ho

doi:10.4174/astr.2016.91.4.207

Cited by 8 publications

(8 citation statements)

References 10 publications

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“…Colon duplication caused chronic constipation in our case, therefore we chose complete resection of transverse, duplicated and descending colon due to atony and a significant extension of the bowel diameter. Although the resection of only duplication with small amount of native bowel has been reported 7. There were no other abnormalities in this case.…”

Section: Discussionmentioning

confidence: 54%

“…GI duplications can cause non-specific symptoms such as abdominal mass, pain and chronic constipation, and result in complications: intestinal obstruction, subvolvulus, volvulus, torsion, intussusceptions, haemorrhage, perforation and fistulas. Symptoms might be caused by duplication colon distinction, adjacent organ compression or compression of the coeliac plexus 7 8. Duplication has been extended, displaced transverse and sigmoid colon in our case.…”

Section: Discussionmentioning

confidence: 59%

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Transverse colon duplication with chronic constipation in adult

Siamionava

Varabei²,

Makhmudov³

2019

BMJ Case Rep

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Gastrointestinal duplications are extremely rare congenital abnormalities having definite difficulties to be diagnosed preoperatively. Most of them are presented at the oesophagus and ileum and only involve colon from 4% to 18%. We illustrate a case report of an 18-year-old female patient with transverse colon duplication. There were symptom manifestations such as chronic constipation with flatulence accompanied with abdominal pain. We demonstrate this case report due to non-specific clinical presentation and some difficulties to form preoperative diagnosis. The patient underwent surgery. Tubular transverse colon duplication communicated with normal bowel in the proximal part was revealed. We performed transverse colon resection with duplication. The postoperative period was uneventful.

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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 59%

Transverse colon duplication with chronic constipation in adult

Siamionava

Varabei²,

Makhmudov³

2019

BMJ Case Rep

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“…They are commonly accompanied by other comorbidities such as urogenital or vertebral abnormalities 2,9–13,16 . In the reported case, there was a colovaginal fistula, which has not been reported in veterinary medicine and is considered extremely rare in humans 17 . A classification system for GI congenital duplications was created for humans and has been previously used in veterinary medicine.…”

Section: Discussionmentioning

confidence: 95%

Colonic duplication with colovaginal fistula in a dog

Rei

Parry

Dempsey

2021

Vet Record Case Reports

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A 9‐week‐old, female entire cross breed dog presented with a history of recurrent constipation since being weaned. Survey radiography, CT and subsequently a retrograde vagino‐urethrogram were performed, and the patient was diagnosed with colonic duplication. CT showed a grossly abnormal colon, with the ascending colon bifurcating into two transverse and two descending colons with a common wall between them. During hospitalisation, the patient was observed to pass faecal material from the vulva. A retrograde vagino‐urethrogram was performed and revealed a colovaginal fistula. Surgical intervention was discussed; however, due to the severity of abnormalities found, the owner elected to euthanise the dog. A necropsy confirmed the imaging findings.

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“…A combination of abdominal pain and intestinal obstruction symptoms is the most common clinical manifestation of colonic duplications. Patients with colonic duplication are often accompanied by vertebral and genitourinary anomalies[ 3 , 8 ]. However, the patient in this case report did not have any other anomalies except colonic duplication.…”

Section: Discussionmentioning

confidence: 99%

Sigmoid colon duplication with ectopic immature renal tissue in an adult: A case report

Namgung¹

2020

WJCC

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BACKGROUND Colonic duplication is a rare congenital anomaly. Many types of heterotopic tissue were identified within the wall of duplication. However, studies of ectopic immature renal tissue (EIRT) involving colon duplication in an adult have yet to be reported. CASE SUMMARY A 23-year-old woman visited our hospital with symptoms of recurrent abdominal pain and chronic constipation. Image analysis via abdomino-pelvic computed tomography, Gastrografin contrast study, and colonoscopy showed a blind and dilated bowel loop filled with fecal material located on the mesenteric side of the sigmoid colon. We established a diagnosis of sigmoid colon duplication and decided to perform a laparoscopic investigation. Segmental resection of the sigmoid colon with duplication was done. Microscopically, the duplicated segment showed all three layers of the bowel wall and EIRT in the wall of the duplication. The postoperative period was uneventful and the patient was discharged nine days after the surgery without complications. She has been doing well 12 mo after the follow-up period. CONCLUSION A comprehensive histopathologic examination for ectopic tissues or tumors is mandatory after resection of colon duplication.

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Complete tubular duplication of colon in an adult: a rare cause of colovaginal fistula

Cited by 8 publications

References 10 publications

Transverse colon duplication with chronic constipation in adult

Transverse colon duplication with chronic constipation in adult

Colonic duplication with colovaginal fistula in a dog

Sigmoid colon duplication with ectopic immature renal tissue in an adult: A case report

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