Transverse colon duplication with chronic constipation in adult

Siamionava, Yuliya; Varabei, Aliaksandr; Makhmudov, Anvar

doi:10.1136/bcr-2018-226450

Cited by 3 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There is a lack of unified diagnostic and treatment criteria for transverse colonic repetitive malformations. 12 cases were diagnosed using abdominal multirow CT ( 12 , 13 , 15 – 18 , 20 – 24 , 26 ), 8 cases using digitized barium enema colography ( 13 , 14 , 17 – 19 , 22 , 23 , 25 ), and colonoscopy in 4 cases ( 19 , 20 , 25 , 26 ), 8 cases using US ( 13 – 16 , 18 , 20 – 22 ) and 2 cases using plain X-ray ( 16 , 18 ). Because the symptoms of repeat transverse colon malformations in adults are mostly nonspecific, clinical diagnosis is difficult.…”

Section: Discussionmentioning

confidence: 99%

Duplication of the transverse colon in adults: a case report and literature review

Zhang,

Di,

Cheng

et al. 2023

Front. Oncol.

View full text Add to dashboard Cite

BackgroundDuplication of the transverse colon is a rare gastrointestinal malformation. Its pathogenesis is still unclear, and it is extremely rare in adults. Patients often present with symptoms of tumor compression such as abdominal mass, abdominal pain, and constipation as the first manifestation.Methods and resultA patient with a duplication of the transverse colon was admitted to the Department of General Surgery of our hospital. Laparoscopic exploration found a mass at the rear of the transverse colon near the splenic flexure, and the root was connected to the middle portion of the transverse colon.ConclusionSurgery is a radical treatment and reduces the possibility of perforation, bleeding, obstruction, and cancer.

show abstract

Section: Discussionmentioning

confidence: 99%

Duplication of the transverse colon in adults: a case report and literature review

Zhang,

Di,

Cheng

et al. 2023

Front. Oncol.

View full text Add to dashboard Cite

show abstract

“…The manifestations of colonic duplication are non-specific, including abdominal mass, chronic constipation and abdominal pain, an acute abdomen, obstruction, perforation, and malignancy[ 4 - 6 , 13 , 14 ]. Our patient was disturbed by chronic abdominal pain and constipation since she was a child.…”

Section: Discussionmentioning

confidence: 99%

“…Traditional treatment of alimentary duplication is surgical resection of both the duplicated and normal colon with an end-to-end anastomosis[ 24 , 25 ]. Most surgeons advocate that symptomatic patients should undergo elective surgery following accurate diagnosis[ 3 , 4 , 20 , 26 ]. It has been reported that symptomatic patients are treated successfully by surgery[ 8 , 16 , 19 , 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Successful management of tubular colonic duplication using a laparoscopic approach: A case report and review of the literature

Li¹,

Han²,

Wang³

et al. 2020

WJCC

View full text Add to dashboard Cite

BACKGROUND Alimentary duplication is a rare congenital disease with a reported incidence of 1 per 4500 persons, although the exact incidence has been difficult to ascertain. According to previous reports, the most common site of duplication is the ileum, and colonic duplication is rare. Due to different types and locations of the duplication, the manifestations are varied, which makes establishing an accurate diagnosis before surgery a challenge. CASE SUMMARY A 17-year-old female patient sought evaluation in our department with constipation and chronic abdominal pain for 12 years; she had difficulty defecating and had dry stools since she was a child. An abdominal computed tomography revealed two extremely enlarged loops of bowel full of stool-like intestinal contents in the left lower abdomen, which led us to consider the possibility of colonic duplication. A laparoscopic exploration was performed, which revealed a tubular duplicated colon that shared a common opening with the transverse colon. A left hemi-colectomy was performed with a side-to-side anastomosis. The pathologic results confirmed the diagnosis. At the 6-mo follow-up, the patient was doing well without constipation or abdominal pain. CONCLUSION Colonic duplication is a rare alimentary abnormality in adults. Due to the non-specific manifestations and low incidence, it is usually difficult to make an accurate diagnosis pre-operatively. Surgery is the mainstay of treatment, even though some patients are asymptomatic.

show abstract

“…However, colonic duplication is unusual, accounting for approximately 6%–7% of cases. To the best of our knowledge, there are no previous reports or research on cases involving a body fistula combined with a pelvic malformation[ 3 , 4 ]. This disease usually manifests as abdominal pain, distension, hematochezia, constipation, obstruction, perforation, and even intestinal twisting.…”

Section: Introductionmentioning

confidence: 99%

Complete colonic duplication presenting as hip fistula in an adult with pelvic malformation: A case report

Cai¹,

Bi²,

Zheng³

et al. 2022

World J Clin Cases

View full text Add to dashboard Cite

BACKGROUND Alimentary tract duplication (ATD) is a rare congenital anomaly. Thus, a case of ATD with a complete colonic duplication isolated in the abdominal cavity with a fistula and multiple malformations is very distinctive. These characteristics show the variability of this disease and explain why it tends to be challenging to diagnose and treat. CASE SUMMARY A 25-year-old woman with a history of a fistula opening in her right hip since birth presented with the irregular discharge of foul fluid from the fistula and intermittent abdominal pain. Contrast-enhanced computed tomography and magnetic resonance imaging findings revealed a duplicated tube isolated in her abdominal pelvic cavity along with a pelvic malformation and double ureter. Right foot radiographic examination showed pes cavus. During surgery, the tube appeared to be an almost complete colonic structure and was verified to be connected to the fistula. All of the involved tissue and fistula were removed, and the defect in the pelvic floor was closed by suturing after surgery. After 8 mo, the postoperative follow-up has been uneventful. CONCLUSION ATD may be a differential diagnosis in sinus tract cases. Laparoscopy combined with open surgery is a viable treatment option.

show abstract

Transverse colon duplication with chronic constipation in adult

Cited by 3 publications

References 8 publications

Duplication of the transverse colon in adults: a case report and literature review

Duplication of the transverse colon in adults: a case report and literature review

Successful management of tubular colonic duplication using a laparoscopic approach: A case report and review of the literature

Complete colonic duplication presenting as hip fistula in an adult with pelvic malformation: A case report

Contact Info

Product

Resources

About