Diagnosis of tubular colonic duplication by barium follow‐through study

Rathi, Vidhi Chhabra; Singh, Sunita; Bhargava, SK; Kaur, Navneet; Seth, Dr. Nagesh

doi:10.1111/j.1440-1673.2005.01363.x

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…Ultrasound is particularly well suited for the identification and characterization of duplication cysts, although in our case it was inconclusive (15)(16). Contrast examinations of the gastrointestinal tract can be useful in order to demonstrate displaced loops of bowel surrounding the presumed cyst and depict the communication with the gastrointestinal tract (17). 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.…”

Section: Discussionmentioning

confidence: 80%

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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Section: Discussionmentioning

confidence: 80%

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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“…Contrast enema and a fistulogram performed concomitantly, preferably with contrast media of differing densities, helps to delineate both colons. Occasionally, upper gastrointestinal contrast follow-through studies may help to locate the proximal extent of duplication [ 10 18 ].…”

Section: Discussionmentioning

confidence: 99%

Tubular Colonic Duplication Presenting as Rectovestibular Fistula

Karkera

Bendre

D'Souza

et al. 2015

Pediatr Gastroenterol Hepatol Nutr

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Complete colonic duplication is a very rare congenital anomaly that may have different presentations according to its location and size. Complete colonic duplication can occur in about 15% of all gastrointestinal duplications. Double termination of tubular colonic duplication in the perineum is even more uncommon. We present a case of a Y-shaped tubular colonic duplication which presented with a rectovestibular fistula and a normal anus. Radiological evaluation and initial exploration for sigmoidostomy revealed duplicated colons with a common vascular supply. Endorectal mucosal resection of theduplicated distal segment till the colostomy site with division of the septum of the proximal segment and colostomy closure proved curative without compromise of the continence mechanism. Tubular colonic duplication should always be ruled out when a diagnosis of perineal canal is considered in cases of vestibular fistula alongwith a normal anus.

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“…Peristalsis of the cyst wall has also been noted on ultrasound scan [11] . Contrast barium enema may show communication between the duplication and the normal bowel, with opacification of the two colons [12] ; the communication between the duplication cyst and main pancreatic duct may be seen by endoscopic retrograde cholangiopancreatography [13] . Besides this, technetium scan may demonstrate ectopic g astric mucosa in duplication [14] .…”

Section: Discussionmentioning

confidence: 99%

Colonic duplication in an adult mimicking a tumor of pancreas

Carneiro

Sobreira²,

Azevedo³

et al. 2008

WJG

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Duplications of the alimentary tract are uncommon congenital malformations that can present diagnostic difficulties. We report a rare case of a cystic colonic duplication in a female adult. Preoperative investigations were suggestive of pancreatic tumor. The diagnosis was established based on the histopathological examination of the resected specimen. We concluded that, though uncommon, intestinal duplication should be considered in differential diagnosis of abdominal mass.

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Diagnosis of tubular colonic duplication by barium follow‐through study

Cited by 4 publications

References 6 publications

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

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

Tubular Colonic Duplication Presenting as Rectovestibular Fistula

Colonic duplication in an adult mimicking a tumor of pancreas

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