Duplication of the Sigmoid Colon

Roberts, M C; Rabinovitch, Jacob; Felton, Maxwell; Lerner, Robert G.

doi:10.1097/00000658-195911000-00015

Cited by 5 publications

(6 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussionmentioning

confidence: 99%

“…Roberts et al 6 highlighted the difficulty of making the diagnosis of colonic duplications, when they described two cases of patients with sigmoid duplications, who both underwent a bowel resection for a suspected carcinoma. In both cases, histology confirmed the presence of a colonic duplication, but no cancer 6. In 2010, Mourra et al 4 reviewed seven cases of colorectal duplication, but only one of them was a case of sigmoid duplication that had a preoperative diagnosis of colonic duplication.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Tubular sigmoid duplication in an adult man: an interesting incidental finding

Asour¹,

Kim

Arya

et al. 2017

BMJ Case Reports

View full text Add to dashboard Cite

A 61-year-old man attended an outpatient colorectal clinic for a chronic, non-specific abdominal pain, associated with rectal bleeding. He underwent a number of investigations including a CT pneumocolon, which revealed an incidental finding of 20 cm of additional sigmoid colon. This case is interesting because tubular sigmoid duplication is an extremely unusual condition, rarely diagnosed in adults; only a few cases have been reported of this condition in the adult population. Our team chose to treat this patient conservatively, in order to avoid putting the patient at risk of an unnecessary surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Tubular sigmoid duplication in an adult man: an interesting incidental finding

Asour¹,

Kim

Arya

et al. 2017

BMJ Case Reports

View full text Add to dashboard Cite

show abstract

“…In adults, colon duplication may also be misdiagnosed as carcinoma; Roberts et al 20 reported two cases of sigmoid colon tubular duplication in two elderly men in their 60s.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis was performed with confidence by histopathology. Both were treated by resection and primary anastomosis 20. Other preoperative differential diagnoses of colonic duplication include volvulus, intussusception and duplication cyst 21…”

Section: Discussionmentioning

confidence: 99%

A case of sigmoid colon duplication in an adult woman

Al-Jaroof

Al-Zayer

Meshikhes³

2014

BMJ Case Reports

View full text Add to dashboard Cite

Colonic duplication is a rare congenital anomaly that is often diagnosed in childhood, but may go unrecognised until adulthood. It often presents with chronic abdominal pain and constipation, and the preoperative diagnosis may be difficult. We present a case of sigmoid duplication in a 33-year-old Indonesian woman who presented with right-sided colicky abdominal pain and vomiting. Clinical examination was unremarkable and radiological investigations raised the possibility of a giant colon diverticulum. The patient underwent exploratory laparotomy that revealed a tubular sigmoid duplication. A sigmoid colectomy with end-to-end anastomosis was performed. She was discharged a week later and remained well at 1 year follow-up. Colon duplications rarely present in adult life and the accurate diagnosis is often made at laparotomy.

show abstract

“…7 In most cases, patients remain asymptomatic for a long period of time, then they undergo surgery due to lifethreatening complications such as bowel obstruction. Roberts et al 18 referred to the challenge in making the diagnosis in two cases presenting with abdominal pain and palpable mass on physical examination. Bowel resection was performed in both patients for a suspected carcinoma, but colonic duplication was confirmed on histopathologic examination with no cancer.…”

Section: Discussionmentioning

confidence: 99%

Tubular colonic duplication in an adult patient with long-standing history of constipation and tenesmus

et al. 2021

View full text Add to dashboard Cite

Background: Intestinal duplications are rare congenital developmental anomalies with an incidence of 0.005-0.025% of births. They are usually identified before 2 years of age and commonly affect the foregut or mid-/hindgut. However, it is very uncommon for these anomalies, to arise in the colon or present during adulthood. Case presentation: Herein, we present a case of a 28-year-old woman with a long-standing history of constipation, tenesmus, and rectal prolapse. Colonoscopy results were normal. An abdominal computed tomography (CT) revealed a diffusely mildly dilated redundant colon, which was prominently stool-filled. The gastrografin enema showed ahaustral mucosal appearance of the sigmoid and descending colon with findings suggestive of tricompartmental pelvic floor prolapse, moderate-size anterior rectocele, and grade 2 sigmoidocele. A laparoscopic exploration was performed, revealing a tubular duplicated colon at the sigmoid level. A sigmoid resection rectopexy was performed. Pathologic examination supported the diagnosis. At 1-month follow-up, the patient was doing well without constipation or rectal prolapse. Conclusions: Tubular colonic duplications are very rare in adults but should be considered in the differential diagnosis of chronic constipation refractory to medical therapy. Due to the non-specific manifestations of this entity, it is rather challenging to make an accurate diagnosis pre-operatively. Surgery remains the mainstay of treatment. Some reports suggest that carcinomas are more prone to develop in colonic/rectal duplications than in other GI tract duplications.

show abstract

Duplication of the Sigmoid Colon

Cited by 5 publications

References 2 publications

Tubular sigmoid duplication in an adult man: an interesting incidental finding

Tubular sigmoid duplication in an adult man: an interesting incidental finding

A case of sigmoid colon duplication in an adult woman

Tubular colonic duplication in an adult patient with long-standing history of constipation and tenesmus

Contact Info

Product

Resources

About