Vargas-de la Llata R G, García-Huerta G, Gutiérrez-Mata Felipe, Noriega-Maldonado O, Dorantes-González H J, López-Giacoman C
Servicio de Coloproctología. Hospital General Zacatecas, Servicios de Salud de Zacatecas. Zacatecas, México.
Rev Gastroenterol Mex. 2009;74(3):259-62.
Colonic duplication is a very uncommon congenital malformation. Most cases are detected during childhood and may occur with other systemic malformations. Since 1950, less than 90 cases of colonic duplication have been reported. In this study, we report the case of a 33-year-old female who was referred to our coloproctology service for evaluation. Since 16 years ago, she has noticed an intermittent left side painless abdominal mass that sometimes spontaneously disappears. In the last months, she reported that the frequency of this complaint has been more frequent. A barium enema X ray study revealed a significant dilation of the descendent and sigmoid colon. An exploratory laparotomy was performed and sigmoid colon duplication was found. The abnormal segment was removed and an end-to-end anastomosis was performed. There were no complications in the postoperative period and she was discharged at day 7. This case describes the difficulties in detecting this rare malformation that should be considered as part of the differential diagnosis of abdominal masses in adult patients.
结肠重复畸形是一种非常罕见的先天性畸形。大多数病例在儿童期被发现，且可能与其他系统性畸形同时出现。自1950年以来，报告的结肠重复畸形病例不到90例。在本研究中，我们报告了一例33岁女性，她因评估被转诊至我们的结肠直肠外科。自16年前起，她注意到左侧有一个间歇性无痛性腹部肿块，有时会自行消失。在过去几个月里，她报告说这种情况出现的频率更高了。钡剂灌肠X线检查显示降结肠和乙状结肠明显扩张。进行了剖腹探查术，发现了乙状结肠重复畸形。切除异常节段并进行了端端吻合术。术后无并发症，她在第7天出院。该病例描述了检测这种罕见畸形的困难，在成年患者腹部肿块的鉴别诊断中应考虑到这种畸形。
