Jacobs Journal of Clinical Case Reports

A low Anorectal Malformation Exposing a Complete Colorectal Duplication: A Case Report

*Aurore Pire
Department Of Case Reports, Université Catholique De Louvain, Belgium

*Corresponding Author:
Aurore Pire
Department Of Case Reports, Université Catholique De Louvain, Belgium
Email:aurorepire@hotmail.com

Published on: 2016-12-08

Abstract

The gastrointestinal duplication is a rare congenital malformations and total recto-colonic duplication represents only 12% of them. We describe an association of a total recto-colonic duplication with a low ano-rectal malformation in a one month girl. The duplication suspected during the first surgery for the ano-rectal malformation, and we realized after this surgery a barium enema confirmed the diagnosis of total colonic duplication with vestibular fistula. Barium enema is the best exam to objective a recto-colonic duplication. The fenestration is an interesting alternative treatment allowing to save the colon. However, they involve a long term follow up of this patient. This case proves the importance to take time to realize some radiologic examination when we are in abnormal situation to make the good choice and so the adequate surgery

Keywords

Colorectal Duplication; Fistulogram; Fenestration

Introduction

Gastrointestinal duplications are rare congenital malformations with an incidence of 1: 4500 [1,2]. Among these, rectocolonic duplications represent only about 12% of the pediatric cases [1,2]. We herein report a total recto-colonic duplication case diagnosed during a low anorectal malformation surgical repair procedure.