Tubular Duplication Research Articles

A 16-month-old boy vomits a double tongue: intraluminal duplication of the cervical esophagus in children

A 16-month-old boy presented with a story of stridor, solid dysphagia and a history of spectacular protrusion underneath his tongue which was mistaken by the parents for a snake's tongue! The radiological examinations showed a filling defect of the upper and middle third esophagus which compressed the cervical trachea. This was found to be an intraluminal tubular esophageal duplication. Treatment by cervicotomy and unusual histological facts are presented.

Multiple short-segment colonic duplications

Gastrointestinal tract duplication is an uncommon congenital anomaly that rarely involves the colon. We report an unusual case of multiple short-segment duplications of the colon not previously reported in the literature. The patient had a large diverticulum-type duplication of the descending and sigmoid colon and two other tubular duplications of the transverse and ascending colon, the latter two communicating with the colon at both ends of the duplications. The symptomatic diverticulum-type of duplication was surgically treated.

Recurrent rectal prolapse caused by colonic duplication in a dog

A 9-month-old female Shar Pei cross-bred dog was presented with a history of recurrent rectal prolapse over 7 months. Repeated reduction and anal purse string sutures and subsequent incisional colopexy failed to prevent recurrent rectal prolapse. Digital rectal examination following reduction of the prolapse identified a faeces-filled sac within the ventral wall of the rectum and an orifice in the ventral colonic wall, cranial to the pubic brim. A ventral, communicating tubular colonic duplication was diagnosed by means of a barium enema. Surgical excision of the duplicated colonic tube was performed via a caudal ventral midline laparotomy. At 20 weeks post-operation, there has been no recurrence of rectal prolapse.

Anterior colorectal duplication presenting as rectal prolapse

Duplications of the gastrointestinal (GI) tract are rare. Only 5% of them are rectal and there are very few reports of rectal prolapse (RP) caused by a duplication. An 11 month-old female presented with a RP caused by a blind-ended anterior tubular colorectal duplication. The duplication was successfully opened and connected to the normal rectum without complications. Although infrequent, a rectal duplication should be considered in the differential diagnosis of RP.

Congenital double anus with total colon duplication: a case report

Cases of congenital double anus are very rare. The number of cases of hindgut duplication of all kinds is slightly higher, and some series include patients with genitourinary and genitalia duplications but with a single anus. However, double termination with tubular duplication is rarely heard of. We report on the case of a patient with 2 well-formed ani, total colon duplication, and 2 vaginas.

Unusual Bronchopulmonary Foregut Malformation Associated with Pericardial Defect: Bronchogenic Cyst Communicating with Tubular Esophageal Duplication

We report a case of unusual bronchopulmonary foregut malformation composed of a mediastinal bronchogenic cyst with sequestrated lung tissue and communicating tubular esophageal duplication associated with complete pericardial defect. A 18-yr-old man, who had suffered from dry cough and mild dyspnea, was admitted because of an incidentally detected chest mass. A computed tomography scan demonstrated a cystic mass with an air fluid level connected with esophagus in the middle mediastinum. The surgically resected mass was a pleural invested accessory lobe of the lung (8.0×7.0×4.5 cm) connected with the esophageal wall by a tubular structure (3.0 cm in length and 2.0 cm in diameter). A complete left pericardial defect was also identified. Histologically, the cystic wall was composed of fibrovascular connective tissue with a smooth muscle layer, mixed seromucous glands and cartilage, and the inner surface of the cyst was lined by ciliated pseudostratified columnar epithelium. The inner surface of the tubular structure was lined by non-keratinizing or keratinizing squamous epithelium, and the wall contained submucosal mucous glands, muscularis mucosa, and duplicated muscularis propria. This case is important in understanding the embryological pathogenesis of the variable spectrum of the bronchopulmonary foregut malformation.

Tubular Sigmoid Bowel Duplication; an Unusual Endoscopic Finding in Adults

Gastrointestinal duplication is an uncommon congenital abnormality which mostly presents in infancy or childhood. Tubular bowel duplication has sometimes been reported to present with rectal bleeding. Ileal duplication is common while colonic duplication, either cystic or tubular is a rather unusual clinical entity that remains asymptomatic and undiagnosed in most cases. Colonic duplication has primarily been reported in pediatric populations with only far fewer cases reported in adults. We report a case of asymptomatic tubular duplication of sigmoid colon in a 53 years old Caucasian male. Screening colonoscopy was done which revealed a sessile non-obstructing mass in the sigmoid colon 25 cm from the anal verge. The mass measured 5 cm in length and 12 mm in diameter. There was no bleeding from the mass and it was biopsied with a hot snare. Biopsy showed anomalous colonic mucosa lined by tubular structure consistent with tubular bowel duplication. The pathologists at Armed Forces Institute of Pathology had never identified a prior case demonstrating this pathology. To the best of our knowledge there has been no prior report of this pathologic finding in either medical or pathologic literature.

Anorectal malformation with tubular hindgut duplication

The association of hindgut duplication and anorectal malformation is rare. Published classifications of this association are confusing in respect of terminology. We report a case of blind-ending, Y-shaped tubular duplication of the distal hindgut, associated with an anorectal malformation (rectourethral fistula) affecting the colon proper. Surgical options at time of presentation and of reconstructive surgery are discussed. A review and suggested modification of the classifications is presented.

Duplication tubulaire œsophagienne chez l’enfant: à propos d’un cas

The authors report a case of tubular duplication of the oesophagus discovered in a 1 month old infant and describe the main characteristics of this rare anomaly.

Perforation of a peptic ulcer in duplicated ileum.

AbstractA case of perforation of a peptic ulcer in a tubular duplication of the ileum is presented with a brief review of the relevant literature.

Diagnosis of tubular colonic duplication by barium follow‐through study

Barium enema studies are considered essential for the diagnosis of tubular colonic duplication with opacification of two colons being the diagnostic sign. Yet in certain cases, barium enema apparently does not show positive findings. A case is reported in which a barium follow-through study established the complete diagnosis of duplication of colon and terminal ileum. The findings were confirmed on laparotomy.

Perforated tubular duplication of the transverse colon: a rare cause of meconium peritonitis with prenatal diagnosis

The transverse colon is an exceptional location of intestinal duplication. Perforated duplications are rarely described in neonates. Meconium peritonitis (MP) can originate from prenatal perforated intestinal duplication. The authors report a case of a baby girl with prenatal diagnosis of MP. Rapid worsening of clinical aspects at birth and the presence of a pneumoperitoneum on systematic abdominal plain radiographs led to urgent surgery on the 1st day of life. Laparotomy showed a perforated necrotizing tubular duplication of the transverse colon. Removal of the duplication followed by limited segmental colonic resection and double colostomy were carried out. Follow-up was uneventful.

An Experience of Tubular Colonic Duplication With Imperforate Anus

An Experience of Tubular Colonic Duplication With Imperforate Anus

Asymptomatic Tubular Duplication of the Transverse Colon in an Adult

Colonic duplication is a rare congenital anomaly of the alimentary tract. In most cases, symptomatic duplications of the colon are recognized and treated by childhood. It is uncommon for these lesions to be detected in the adulthood since they present with vague symptoms if at all. We experienced a case of asymptomatic tubular duplication of the transverse colon in a 40-year-old female. Barium enema revealed a tubular duplication of the transverse colon. The duplicated segment arose from the mid ascending colon and incorporated just proximal to the splenic flexure, running parallel to the transverse colon and communicating with it at both ends. Colonoscopy demonstrated a normal colonic mucosa in the duplicated segment. The diameter of its lumen gradually narrowed proximally and the colonoscope could not be passed through the proximal opening of the segment. The patient did not need any treatment. Duplications of the alimentary tract can be found at any age. The possibility of congenital lesions in the adult population should not be overlooked.

Scintigraphic Diagnosis of Jejunoileal Duplication

A 10-month-old male infant was hospitalized with a history of chronic intermittent gastrointestinal bleeding. A tentative diagnosis of Meckel's diverticulum was made, and Tc-99m pertechnetate scintigraphy demonstrated extensive uptake in the abdomen. At laparotomy, a 65-cm long jejunoileal tubular duplication was resected. Pathologic examination of the specimen revealed extensive gastric mucosal lining and hemorrhagic areas. In this report, the importance of Tc-99m pertechnetate scans for the diagnosis of jejunoileal duplication with heterotopic gastric mucosa is highlighted.

Colonic duplication in a patient with obstructing carcinoma of the colon

Duplications of the colon are unusual congenital anomalies and they rarely present in adulthood. It is even rarer to encounter the association of colonic carcinoma with tubular colonic duplications. We report a case of colonic duplication that was found in a 75‐year‐old woman during a laparotomy for obstructing colon cancer.

Enteric duplications presenting as antenatally detected abdominal cysts: is delayed resection appropriate?

Purpose: The aim of this study was to evaluate delayed elective resection of antenatally detected enteric duplication cysts. Methods: A retrospective casenote study of intraabdominal cysts detected antenatally between January 1991 and January 2002 found 37 fetuses with cysts. Twelve were enteric duplications. Two were duodenal, 1 was an 85-cm tubular jejunoileal duplication, and 9 were ileocecal. Asymptomatic cysts were followed with serial ultrasound scars and resected electively over 14 months. Results: Three neonates had small bowel obstruction demanding laparotomy: 1 of the 2 infants with duodenal duplication cysts, 1 infant with an ileocecal duplication, and the infant with the tubular duplication. One with an ileocecal duplication became symptomatic at 2 months and underwent a laparotomy. Seven had their duplications resected electively between 6 weeks and 14 months, and the other is still being followed. Four of the 7 asymptomatic duplications electively resected contained gastric mucosa. Conclusions: Intraabdominal enteric duplication cysts are increasingly likely to be detected antenatally. The majority are likely to remain asymptomatic for several months at least, after which a resection can be planned. The prevalence of gastric mucosa suggests that they should not be left indefinitely. Laparoscopically assisted resection of ileocecal duplications is safe and effective.

Association of Small Bowel Duplication and Esophageal Duplication: Treatment by Video Surgery

Duplications of the alimentary tract are a rare pathology in childhood. They can occur any where in the alimentary tract from the mouth to the anus. They can be tubular or cystic, communicating or non-communicating. Their treatment is surgical since they can be the source of complications (hemorrhage, perforation, etc.). This treatment can be accomplished through video surgery. Multiple duplications of the alimentary tract are exceptional. They can be above or under the diaphragm, intra-peritoneal or intra- and retro-peritoneal. In this study we report one infant, 18 months old, who presented with a tubular duplication of the small bowel associated with a cystic duplication of the esophagus, both treated by video surgery. The small bowel duplication was revealed by a digestive hemorrhage evoking a Meckel's diverticulum. The patient was operated on using a laparoscopic technique. Three trocars of 3.5 mm were used. The duplication was expressed through the umbilical incision, and a resection-anastomosis was...

Communicating esophageal duplication with Barrett's esophagus and high-grade dysplasia

Surgery 2002;132:112-4.

Neonatal perforation of a Y-shaped sigmoid duplication

Tubular colonic duplications are exceedingly rare; the “Y”-shaped forms are exceptional. In the absence of associated low vertebral or urogenital malformations (often fistulas), the tubular colonic malformations frequently stay hidden for several years until a complication develops. The authors report a case of a spontaneous perforation of a Y-shaped tubular colonic duplication during the neonatal period. J Pediatr Surg 36:1422-1424. Copyright © 2001 by W.B. Saunders Company.