Tubular Duplication of the Sigmoid Colon with Acute Abdomen: An Adult Case Report

Sobhani, Roohollah; Fatemi, Mohammad Javad; Yazdi, Niloufar Ayoubi; Alsaeidi, Samira

doi:10.1007/s12262-014-1110-x

Cited by 6 publications

(5 citation statements)

References 10 publications

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“…In this particular case, the diagnosis of colonic duplication was in the differential diagnosis, along with a giant diverticulum, volvulus and duplication cyst. Finally, in 2015, Sobhani et al 11 reported a case of a 27-year-old man who was diagnosed with a tubular sigmoid duplication intraoperatively after he had an exploratory laparotomy for an acute abdomen.…”

Section: Discussionmentioning

confidence: 99%

Tubular sigmoid duplication in an adult man: an interesting incidental finding

Asour¹,

Kim

Arya

et al. 2017

BMJ Case Reports

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A 61-year-old man attended an outpatient colorectal clinic for a chronic, non-specific abdominal pain, associated with rectal bleeding. He underwent a number of investigations including a CT pneumocolon, which revealed an incidental finding of 20 cm of additional sigmoid colon. This case is interesting because tubular sigmoid duplication is an extremely unusual condition, rarely diagnosed in adults; only a few cases have been reported of this condition in the adult population. Our team chose to treat this patient conservatively, in order to avoid putting the patient at risk of an unnecessary surgery.

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Section: Discussionmentioning

confidence: 99%

Tubular sigmoid duplication in an adult man: an interesting incidental finding

Asour¹,

Kim

Arya

et al. 2017

BMJ Case Reports

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“…Cystic duplication is the most common type; only 20% of colonic duplications are tubular[ 11 ], which can be further divided into T- and Y-shaped duplications[ 12 ]. Tubular colonic duplication usually shares a common wall or has a direct communication with the native tract, as in our patient, unlike a cystic duplication[ 2 , 3 ].…”

Section: Discussionmentioning

confidence: 86%

“…Abdominal CT is another necessary examination for duplication, which might reveal a low-density cystic structure or dilated lumen running parallel to the native tract[ 22 , 23 ]. Sobhani et al[ 2 ] reported a patient in whom the abdominal CT showed an extremely dilated and air-filled loop of bowel adjacent to the sigmoid colon; colonic duplication was later diagnosed intra-operatively. In our patient, two enlarged intestinal loops running parallel from the splenic flexure to the sigmoid colon were demonstrated, and the diagnosis was confirmed during surgery.…”

Section: Discussionmentioning

confidence: 99%

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

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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.

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“…The anatomical variations of GI duplications include cystic (80%) and tubular (20%) types. Tubular type presents Y and T-shaped types 4–6. Cystic duplications often have no communication with native bowel whereas tubular malformations usually have direct communication or can share common bowel wall.…”

Section: Discussionmentioning

confidence: 99%

Transverse colon duplication with chronic constipation in adult

Siamionava

Varabei²,

Makhmudov³

2019

BMJ Case Rep

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Gastrointestinal duplications are extremely rare congenital abnormalities having definite difficulties to be diagnosed preoperatively. Most of them are presented at the oesophagus and ileum and only involve colon from 4% to 18%. We illustrate a case report of an 18-year-old female patient with transverse colon duplication. There were symptom manifestations such as chronic constipation with flatulence accompanied with abdominal pain. We demonstrate this case report due to non-specific clinical presentation and some difficulties to form preoperative diagnosis. The patient underwent surgery. Tubular transverse colon duplication communicated with normal bowel in the proximal part was revealed. We performed transverse colon resection with duplication. The postoperative period was uneventful.

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Tubular Duplication of the Sigmoid Colon with Acute Abdomen: An Adult Case Report

Cited by 6 publications

References 10 publications

Tubular sigmoid duplication in an adult man: an interesting incidental finding

Tubular sigmoid duplication in an adult man: an interesting incidental finding

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

Transverse colon duplication with chronic constipation in adult

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