Tubular Colonic Duplication Presenting as Rectovestibular Fistula

Karkera, Parag; Bendre, Pradnya; D'Souza, Flavia; Ramchandra, Mukunda; Nage, Amol Ramesh; Palse, Nitin

doi:10.5223/pghn.2015.18.3.197

Cited by 12 publications

(11 citation statements)

References 14 publications

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“…These cysts are usually situated on the mesenteric aspect and share a common muscular wall and blood supply with the intestinal wall. Duplication cyst may also be associated with genitourinary, cardiovascular, vertebral and spinal anomalies [15]; our case was also associated with right malrotated kidney and bicornuate uterus. About 75% of intestinal duplication cyst present in the first two years of life and only 30% are diagnosed in newborn period.…”

Section: Discussionmentioning

confidence: 56%

Colorectal Duplication Cyst, Presenting with Recurrent Acute Intestinal Obstruction

Kumar¹,

Behari²,

Singh³

et al. 2016

JCR

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Abstract:Enteric duplication is a rare congenital anomaly which is commonly encountered in pediatric age group, and is rarely seen in adult patients. Ileum is the most common site of involvement (60%) followed by duodenum, stomach, jejunum, colon and rectum. Here we report a case of a 20-year old female presenting with acute intestinal obstruction, in which an initial diagnosis of Hirschsprung's disease (HD) was considered and laparotomy, multiple colonic biopsies, appendectomy with loop ileostomy was done. The diagnosis of HD was disproved by presence of ganglionic cells in the colonic wall. Diagnosis of a long duplication, along the entire length of colon, was made when a CECT was done with instillation of contrast through the distal limb of ileostomy. A subtotal colectomy with division of septum between the residual cyst and rectum with colorectal anastomosis was done after a month and closure of ileostomy after another 3 months. The patient recovered well and is asymptomatic in follow-up.

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Section: Discussionmentioning

confidence: 56%

Colorectal Duplication Cyst, Presenting with Recurrent Acute Intestinal Obstruction

Kumar¹,

Behari²,

Singh³

et al. 2016

JCR

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“…The distal duplicated rectum was excluded from the fecal stream by transecting with a stapler, leaving a blind pouch to the fistula. In the case presented by Karkera et al [7] a high sigmoid loop colostomy was done which resulted in four stomal lumens. Later, an endorectal mucosal resection of the duplicated distal segment till the colostomy site was done, with division of the septum of the proximal segment.…”

Section: Discussionmentioning

confidence: 99%

“…An endoscopic examination performed from ectopic opening of the duplicated colon which is one of the rarest presentations. During the search of English language literature, we came across only five cases of total colon duplication with a normal anus and a vulvar or vestibular fistula [4][5][6][7][8].…”

Section: Case Reportmentioning

confidence: 99%

Unusual Recto-colonic Tubular Duplication in a Female Neonate

Kechiche¹,

Farhani²,

Lamiri³

et al. 2019

J Neonatal Surg

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Complete tubular colonic duplication is exceedingly rare. A second ectopic opening in the perineum other than a normally cited anus could be an unusual presentation. We report an unusual case of recto-colonic duplication in a 16-day-old girl who presented with fecal discharge from a vestibular opening in addition to a normally situated anus. The diagnosis of total recto-colonic tubular duplication associated with a rectovestibular fistula and a normal anus was confirmed by barium enema and computed tomography scan with double contrast. At operation, we performed a long transanal incision of the common septum to create an anastomosis between the normal and duplicated colon with complete submucosal excision of the rectovestibular fistula. The patient was doing well at 3-year follow-up examination.

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“…In children, this has not yet been observed. Therefore, for asymptomatic patients, the complete resection needs to be discussed [10][11][12]. An argument against resection is difficult and sometimes impossible procedure when the duplicate and the native bowel have a mutual blood supply [11].…”

Section: Discussionmentioning

confidence: 99%

Complete Colon Duplication with Rectovesical Fistula: A Case Report of a 3-Year-Old Child with Lifelong Obstipation

Eckstein¹,

Lang²,

Promm³

et al. 2021

SCR

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Duplicates of the gastrointestinal tract are rare malformations, which most commonly become symptomatic and are diagnosed during the first two years of life. In this case report, we will recount the story of a 3-year-old patient, who introduced himself with lifelong, intractable obstipation and intermittently emanating stool from the penis. Intraoperatively a complete duplicate of the colon frame with rectovesical fistula became evident. After three procedures, a temporary ostomy, and a final separation of the septum via multiple colostomy and occlusion of the fistula, the boy is now free of complaints.

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Tubular Colonic Duplication Presenting as Rectovestibular Fistula

Cited by 12 publications

References 14 publications

Colorectal Duplication Cyst, Presenting with Recurrent Acute Intestinal Obstruction

Colorectal Duplication Cyst, Presenting with Recurrent Acute Intestinal Obstruction

Unusual Recto-colonic Tubular Duplication in a Female Neonate

Complete Colon Duplication with Rectovesical Fistula: A Case Report of a 3-Year-Old Child with Lifelong Obstipation

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