Rectosigmoid tubular duplication presenting as perineal sepsis in a neonate

Zhang, Zhibo; Huang, Ying; Wang, Dajia; Su, Peng

doi:10.1016/j.jpedsurg.2009.12.025

Cited by 7 publications

(10 citation statements)

References 16 publications

(13 reference statements)

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“…The incidence of anorectal and colonic duplications has been reported as 3% to 8% and 4% to 18% of all duplications, re- spectively [3,5,6]. Anorectal duplications comprise a small proportion of enteric duplications, with only 70 cases reported to date in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…However, no single theory can explain all forms of intestinal duplication [2,6,8]. Anorectal duplications are generally attributed to a simple "pinching off" of the diverticulum in the 8th to 9th week of gestation or to more complex "caudal twinning" occurring when the embryo is 10 mm in length during the 5th week of gestation [3].…”

Section: Discussionmentioning

confidence: 99%

“…In particular, MRI can provide multiplanar views, allowing identification of pelvic structures and ruling out other diagnoses [6,7]. To evaluate communication between duplications and normal bowels, contrast studies can be helpful in accurately delineating the anatomy of the duplicated rectum [6].…”

Section: Journal Of Korean Association Of Pediatric Surgeonsmentioning

confidence: 99%

“…Perineal or posterior sagittal approaches in the prone position have primarily been used in cases of posterior rectal duplication and anal canal duplication [1], whereas abdominoperineal approaches have been chosen for anterior rectal duplications [3,7]. One reported case of posterior anorectal duplication extending to the colon was initially treated with a posterior sagittal approach, but as the dissection proceeded cephalad, it became difficult to manage, and laparotomy was also performed [6]. In our case, a perineal approach was first attempted because the lesion was misdiagnosed as a rectovaginal fistula; however, when the anterior anorectosigmoid duplication was found, the operation proceeded using an abdominal approach.…”

Section: Journal Of Korean Association Of Pediatric Surgeonsmentioning

confidence: 99%

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Anterior Anorectocolonic Tubular Duplication Presenting as Rectovestibular Fistula in an Infant

Kim

Youn

Kim

et al. 2017

J Korean Assoc Pediatr Surg

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Anorectal duplications account for only 5% of gastrointestinal duplications, and cases with involvement of the anal canal are much rarer. Nearly all anorectal duplications are posterior to the rectum; duplications located anterior to the normal rectum are highly unusual, and only a few cases have been reported. We report the case of an anterior anorectocolonic duplication presenting as a rectovaginal fistula in a 2-month-old infant. After diagnosis, the duplication was excised completely without further intestinal complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Journal Of Korean Association Of Pediatric Surgeonsmentioning

confidence: 99%

Section: Journal Of Korean Association Of Pediatric Surgeonsmentioning

confidence: 99%

See 2 more Smart Citations

Anterior Anorectocolonic Tubular Duplication Presenting as Rectovestibular Fistula in an Infant

Kim

Youn

Kim

et al. 2017

J Korean Assoc Pediatr Surg

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“…Gastrointestinal duplication is mostly located in the small-bowel tract and is an uncommon disease, presenting symptoms like abdominal pain, bleeding, obstruction and even perforation [1][2][3][4][5] . The mature teratoma is a benign neoplasm that comes from pluripotential cells of embryonic remnants of the ectodermal lines, which consist of cystic and solid elements including teeth, hair, cartilage and dermal appendages, such as hair follicles and sebaceous material [6,7] .…”

Section: Introductionmentioning

confidence: 99%

Colon duplication combined with mature teratoma-a case report

Sun

Jian

Chu

et al. 2011

Clin. Oncol. Cancer Res.

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Gastrointestinal duplication is an uncommon congenital abnormality, and colonic duplication combined with teratoma has rarely been reported. A 24-year-old man presented to the Emergency Department with a sudden onset of severe abdominal pain lasting 2 hours without intermission, and also complained to have who had chronic constipation since his birth. Multislice CT imaging showed 2 masses in the retroperitoneal space. The one huge cystic mass was detected behind the transverse colon, pancrease and stomach without infi ltration into the surrounding tissues. The right mass containing soft tissues and bones pushed aside the inferior vena cava and right kidney. The cystic duplication and the right mass were excised separately. This case indicates that a patient diagnosed as colonic duplication should receive further differential diagnosis to identify if it coexists other diseases, especially the teratoma.

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