دورية أكاديمية
أعرض في EDS

Total colonic tubular duplication causing severe constipation

التفاصيل البيبلوغرافية
العنوان: Total colonic tubular duplication causing severe constipation
المؤلفون: Francesca Destro, Enrico La Pergola, Luciano Maestri, Milena Meroni, Claudio Vella, Giovanna Riccipetitoni
المصدر: Journal of Pediatric Surgery Case Reports, Vol 48, Iss , Pp - (2019)
بيانات النشر: Elsevier, 2019.
سنة النشر: 2019
المجموعة: LCC:Pediatrics
LCC:Surgery
مصطلحات موضوعية: Pediatrics, RJ1-570, Surgery, RD1-811
الوصف: Aim: To report the case of a patient with total colonic tubular duplication pointing out the diagnostic and therapeutic difficulties and reviewing the Literature concerning this rare malformation. Case report: The patient was a female girl born at term with vertebral and spinal anomalies. At 6 months she underwent emergent left upper lobectomy for a symptomatic, previously undiagnosed left congenital lobar emphysema. She also had intractable coprostasis and abdominal distension. The clinical picture and the results of the contrast enema made us think of congenital megacolon but suction rectal biopsies were inconclusive. Therefore we obtained full thickness colonic and terminal ileum biopsies and we performed an ileostomy for faecal diversion and bowel management. A few months later, the anterograde contrast study from the distal ileostomy showed two colons with proximal communication and a distal pouch. On laparotomy, we confirmed the diagnosis of complete colonic tubular duplication. We divided the common wall between the two colons, we performed a mucosectomy and we removed the duplicated segment. Post-operative course was uneventful. Conclusions: Duplications of the colon are rare and the diagnosis is not easy. Two main problems occurred during surgery: differentiating between normal and duplicated colon and removing the duplication avoiding extensive colonic resections. Resection of the common wall, mucosectomy and removal of the duplicated colon represented a feasible and safe procedure. Keywords: Colon duplication, Constipation, Paediatric surgery, Congenital malformation
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2213-5766
Relation: http://www.sciencedirect.com/science/article/pii/S2213576619301861; https://doaj.org/toc/2213-5766
DOI: 10.1016/j.epsc.2019.101274
URL الوصول: https://doaj.org/article/82052f663af848d596f1cf87fd651c88
رقم الأكسشن: edsdoj.82052f663af848d596f1cf87fd651c88
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:22135766
DOI:10.1016/j.epsc.2019.101274