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

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.

Ascending Colon Duplication-A Case Report with Review of Literature

Gastro – intestinal duplications are usually detected in children before 2 years of age due symptoms/complications associated with the condition or during surgery in the child for some unrelated condition. In adults colonic duplication is of rare occurrence and often diagnosed during surgery. However, it may be diagnosed pre operatively due to symptoms of obstruction, volvulus or rarely due to perforation. We present an adult having tubular duplication of ascending colon, that presented with perforation. The duplication had a blind end and did not have distal communication. In addition, it had its own blood supply. The management of the case is discussed. Aetiogenesis of the anomaly is enumerated and literature reviewed. For ascending colon duplication similar meaning word accessory ascending colon has also been used in the manuscript.

COLONIC DUPLICATIONS, COMPLICATED BY ACUTE INTESTINAL OBSTRUCTION IN A 9-YEAR-OLD GIRL

Gastrointestinal tract (GIT) duplication is a rare congenital anomaly with an incidence of about 1 in 4,500 newborns. Duplication of the intestine, as a rule, is diagnosed at 2–3 years, however, cases of this pathology being detected in patients of any age are described. Duplication of GIT can be asymptomatic or be detected when massive intestinal bleeding, intestinal perforation, obstruction due to intussusception or volvulus, and even malignancy in the doubled section occur. The characteristic signs of a duplication of the intestine are a well-developed muscular membrane, a general blood supply to the duplication with a portion of the supporting intestine, the presence of a mucous membrane that coincides with the supporting segment, in a third of cases, ectopic tissue is found. Our article describes the staged treatment of a patient with total tubular colon duplication complicated by acute intestinal obstruction.

COLON DUPLICATION (case report)

This case report describes a rare condition – colon duplication in patient in adulthood, which underwent surgery for benign abdominal tumor. The diagnosis was established after histological study of the resected specimen.

Transverse colon duplication with chronic constipation in adult

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.