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An unusual cause of diffuse ascites in an infant: colonic duplication associated with bladder duplication
Bariş Bakir1, Selim Gökçe, Memduh Dursun
1Department of Radiology, Istanbul University School of Medicine, Istanbul, Turkey. drbarisbakir@yahoo.com
Insights
Colonic duplication, a rare congenital anomaly, can cause symptoms like bleeding or obstruction. This case highlights a rare instance of colonic and bladder duplication presenting as diffuse ascites in a child.
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
- Gastroenterology
Background:
- Colonic duplication is a rare congenital malformation.
- Symptomatic presentations include bleeding, constipation, obstruction, perforation, or malignancy.
- Association with other duplications is uncommon.
Observation:
- A sixteen-month-old boy presented with diffuse ascites.
- The patient was diagnosed with complete colonic duplication and bladder duplication.
- This combination of duplications is exceptionally rare.
Findings:
- Complete colonic duplication and bladder duplication is a rare entity.
- This rare combination presented as diffuse ascites.
- Ascites is an extremely rare manifestation of colonic and bladder duplication.
Implications:
- Highlights the importance of considering rare congenital anomalies in pediatric ascites.
- Underscores the need for thorough diagnostic evaluation in complex pediatric cases.
- Contributes to the limited literature on combined colonic and bladder duplication.
Abstract:
Colonic duplication is usually asymptomatic; however, when it is symptomatic, patients with this anomaly may present with bleeding, constipation, or manifestations of obstruction, perforation, or malignancy. We report the case of a sixteen-month-old boy who presented with diffuse ascites, and had complete colonic duplication and bladder duplication. Duplication of the colon associated with bladder duplication is a rare entity with only a few cases reported in the medical literature. In addition, it is an extremely rare cause of ascites.
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