Duplication of transverse colon in an adult presenting as chronic diarrhea

Abstract

Discussion

Duplication of the transverse colon in adults: a case report and literature review

“…There is a lack of unified diagnostic and treatment criteria for transverse colonic repetitive malformations. 12 cases were diagnosed using abdominal multirow CT ( 12 , 13 , 15 – 18 , 20 – 24 , 26 ), 8 cases using digitized barium enema colography ( 13 , 14 , 17 – 19 , 22 , 23 , 25 ), and colonoscopy in 4 cases ( 19 , 20 , 25 , 26 ), 8 cases using US ( 13 – 16 , 18 , 20 – 22 ) and 2 cases using plain X-ray ( 16 , 18 ). Because the symptoms of repeat transverse colon malformations in adults are mostly nonspecific, clinical diagnosis is difficult.…”

“…Surgical resection is a radical treatment for repetitive deformities of the colon. Only one patient in previous studies had been treated with drugs ( 19 ), with one case complicated by transverse colon carcinogenesis ( 12 ) and one case of mild dysplasia ( 20 ). Resection of repetitive malformations and additional resection of 2 cm to the normal bowel may disengage the fibrotic bowel and reduce the risk of perforation, bleeding, obstruction, and carcinogenesis ( 31 ).…”

“…Based on the literature at home and abroad to clear diagnosis of adult transverse repeat deformity in 16 cases and 1 case analysis, this paper in order to improve the understanding of the disease (Table 2) (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26). Two main theories explain the pathogenesis of repetitive malformations in the transverse colon.…”