Spontaneous perforation of a colonic duplication

Abstract

Alimentary tract duplications are rare anomalies that present with a wide spectrum of clinical manifestations. Mass lesions or obstructive symptoms predominate in infancy, while pain and hemorrhagic complications often herald their recognition in childhood. Spontaneous perforation, a rarely encountered complication, accounted for the acute exacerbation of previously chronic abdominal pain in a three-year-old girl. This case emphasizes the potential for these benign lesions to present with progressive abdominal symptoms and ultimately pressure-induced ischemic perforation.

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

“…These congenital anomalies have a double muscular layer and epithelium similar to the rest of the colon [13,15] . The clinical signs include constipation, vomiting, volvulus, perforation, and, most commonly, intestinal obstruction owing to the blind end of the duplication compressing the normal bowel [13,14,16] . If there are no other associated malformations, tubular duplications of the colon are often not discovered until there is surgical treatment for the complications.…”

Perforated tubular duplication of the transverse colon: a rare cause of meconium peritonitis with prenatal diagnosis

“…Nevertheless, intestinal volvulus as a complication of intestinal duplication has been described in the prenatal period [10]. Miscellaneous complications have been reported later in life, including perforation [4,7,12,13], bleeding, volvulus, obstruction, and intestinal cancer. Perforation of duplications is probably due to numerous factors, such as mural ischemia depending on increased intraluminal pressure [2,12], the presence of ectopic gastric mucosa, cystic fibrosis, and carcinoma [2].…”

“…Miscellaneous complications have been reported later in life, including perforation [4,7,12,13], bleeding, volvulus, obstruction, and intestinal cancer. Perforation of duplications is probably due to numerous factors, such as mural ischemia depending on increased intraluminal pressure [2,12], the presence of ectopic gastric mucosa, cystic fibrosis, and carcinoma [2]. Authors generally propose removing intestinal duplications in order to prevent these complications [13,10].…”

Cecal duplication cyst presenting as perforation in an adult patient

“…Many complications related to colonic duplications have been reported in adults, such as obstruction, bleeding, intussusception, or melena (3)(4)(5)(6). Peritonitis related to perforation of the duplication is a rare condition in adults (1,3). To our knowledge, this report describes the first case of an unusual cause of acute abdomen in an adult patient related to cecal duplication cyst perforation (CDCP).…”

“…More than 80% of the cases can be detected prenatally or in the first two years of life, but this rare entity may remain asymptomatic for years, even until adulthood, unless complications occur (2). Many complications related to colonic duplications have been reported in adults, such as obstruction, bleeding, intussusception, or melena (3)(4)(5)(6). Peritonitis related to perforation of the duplication is a rare condition in adults (1,3).…”