Colorectal duplication with prostatorectal fistulae

Mamta Sengar1, Chhabi R Gupta, Vishesh Jain

  • 1Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, Delhi, India 110031.

Insights

This study reports a rare case of a child successfully treated for a communicating tubular colonic duplication with prostatorectal fistulae. Early diagnosis and high suspicion are crucial for managing these rare congenital malformations.

Area of Science:

  • Pediatric Surgery
  • Congenital Malformations
  • Gastrointestinal Surgery

Background:

  • Tubular colonic duplications are uncommon congenital anomalies.
  • Prostatorectal fistulae are exceptionally rare, with few documented cases.
  • The association between these two conditions is exceedingly rare.

Observation:

  • A case of an 8-year-old child with a communicating tubular colonic duplication and prostatorectal fistulae is presented.
  • The patient underwent successful management of this complex condition.
  • Diagnosis can be challenging due to diverse clinical presentations.

Findings:

  • Successful surgical management was achieved in a pediatric patient with a rare communicating tubular colonic duplication and prostatorectal fistulae.
  • This case highlights the successful treatment of an extremely rare congenital anomaly.
  • The report contributes to the limited literature on this specific association.

Implications:

  • High clinical suspicion is essential for diagnosing children with isolated congenital recto-urinary fistulas.
  • Awareness of rare colonic duplications and their potential association with fistulae can improve diagnostic accuracy.
  • This case underscores the importance of thorough evaluation in pediatric patients presenting with complex anorectal and urinary anomalies.