Radiological Case of the Month

Abstract

A 7-year-old girl was admitted with symptoms of abdominal pain, frequency, dysuria, and urgency. A urine culture showed a colony count of 100,000 Escherichia coli per high-power field. She had a history of three urinary tract infections within the previous two-year period. Each time, she had pyuria and was treated with sulfisoxazole for two weeks. Follow-up urinalyses had normal results.On physical examination, she was found to be a well-developed, wel l \x=req-\ nourished, normal-appearing 7-year\x=req-\ old girl. She had a well-healed thoracotomy scar secondary to repair of a coarctation of the aorta at 1 month of age. There was a questionably palpable pelvic mass. Laboratory data from admission studies included a normal urinalysis and no pathogens on urine culture.An initial cystogram, an excretory urogram, and a second cystogram were obtained (Fig 1, 2, and 3).

Tubular colonic duplication — review of 1876–1981 literature

“…The diagnosis was either made fortuitously [22,23], or suspected because of urethral and bladder duplication [24].…”

Diagnosis of tubular colonic duplication by barium follow‐through study

“…Tubular duplication of the colon may not be complete. For example, the rectum may not be duplicated 2 . So it is important to make a thorough study of the anomaly 8 , and to establish the complete extent of duplication prior to surgery.…”

“…The diagnosis of tubular colonic duplication is usually established by a barium enema study 1–5 . Rarely has a small bowel follow‐through series been resorted to for making the diagnosis 1 .…”