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Colonic duplication in adults: report of two cases presenting with rectal bleeding

C Fotiadis1, M Genetzakis, I Papandreou

  • 1Department of Surgery, University of Athens, Melissia, Athens 15127, Greece. costfot@yahoo.gr

World Journal of Gastroenterology
|August 27, 2005
PubMed

Insights

Colonic duplication is a rare congenital condition, often asymptomatic in adults. This study highlights two adult cases presenting with rectal bleeding, emphasizing its inclusion in differential diagnoses.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Congenital Abnormalities

Background:

  • Gastrointestinal duplication is a rare congenital anomaly, typically diagnosed in early childhood.
  • Colonic duplication, whether cystic or tubular, is particularly uncommon and frequently remains asymptomatic in adults.

Observation:

  • This study presents two adult cases of colonic duplication.
  • Both adult patients exhibited rectal bleeding as their primary presenting symptom.

Findings:

  • Diagnosis was confirmed using Gastrografin enema in both cases.
  • Surgical excision of the cystic duplication and adjacent colon was performed successfully.
  • Histological examination confirmed the duplication.

Implications:

  • Colonic duplication, despite its rarity in adults, should be considered in the differential diagnosis for patients presenting with rectal bleeding.
  • Early diagnosis and surgical intervention are crucial for managing this condition.

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