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Published on: July 12, 2018
[Sigmoid colon duplication: an adult case report.]
R G Vargas-de la Llata1, G García-Huerta, Felipe Gutiérrez-Mata
1Servicio de Coloproctología. Hospital General Zacatecas, Servicios de Salud de Zacatecas. Zacatecas, México. rgvarqas90@hotmail.com
Colonic duplication, a rare congenital condition, can present as an abdominal mass in adults. This case highlights diagnostic challenges and successful surgical management of sigmoid colon duplication.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Congenital Malformations
Background:
- Colonic duplication is an exceedingly rare congenital anomaly, with fewer than 90 reported cases since 1950.
- Typically diagnosed in childhood, it can be associated with other systemic malformations.
Observation:
- A 33-year-old female presented with a long-standing, intermittent left-sided abdominal mass.
- Recent increase in mass frequency prompted further investigation.
- Barium enema revealed significant dilation of the descending and sigmoid colon.
Findings:
- Surgical exploration identified sigmoid colon duplication.
- The duplicated segment was successfully resected with end-to-end anastomosis.
- The patient experienced an uncomplicated postoperative recovery and was discharged on postoperative day 7.
Implications:
- This case underscores the diagnostic difficulties of colonic duplication in adult patients.
- Colonic duplication should be considered in the differential diagnosis of adult abdominal masses.
- Early recognition and surgical intervention are crucial for favorable outcomes in rare congenital anomalies.
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