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Related Experiment Videos

Segmental colonic duplication presenting as a sigmoid volvulus.

D L Schwartz, A Procaccino, M Becker

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |October 1, 1983
    PubMed
    Summary
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    A rare case of complex gastrointestinal duplication in a four-year-old girl presenting with abdominal pain is detailed. Surgical findings revealed extensive colon and ileal duplications, including a volvulized segment.

    Area of Science:

    • Pediatric Surgery
    • Gastrointestinal Motility Disorders
    • Congenital Anomalies

    Background:

    • Congenital gastrointestinal duplications are rare malformations.
    • Imperforate anus repair in infancy can be associated with other anomalies.
    • Abdominal pain in children warrants thorough investigation for underlying pathology.

    Observation:

    • A four-year-old female presented with severe intermittent abdominal pain.
    • History of infra-levator imperforate anus repair as a neonate.
    • Intraoperative findings revealed complex duplications of the right and left colon, a normal transverse colon, and duplicated terminal ileum.

    Findings:

    • A left colon duplication, sealed at both ends, contained 500 cc of secretions.
    • The sigmoid colon and its duplication were affected by volvulus.

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  • One of the duplicated terminal ileums was patent proximally but distally closed, connecting to a duplicated ascending colon.
  • Implications:

    • This case highlights the spectrum of complex gastrointestinal duplications.
    • Early diagnosis and surgical intervention are crucial for managing complications like volvulus.
    • Understanding these anomalies aids in surgical planning and patient management.