Samuk Inbal, Levitt Marc, Dlugy Elena, Kravarusic Dragan, Ben-Meir David, Rajz Gustavo, Konen Osnat, Freud Enrique
Department of Pediatric Surgery, Schneider Children's Medical Center, Sackler Medical School, University of Tel Aviv, Petach Tikvah, Israel.
Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, Ohio, United States.
European J Pediatr Surg Rep. 2016 Dec;4(1):1-5. doi: 10.1055/s-0035-1570370. Epub 2015 Dec 31.
Caudal duplication syndrome is a rare entity that describes the association between congenital anomalies involving caudal structures and may have a wide spectrum of clinical manifestations. A full-term male presented with combination of anomalies including anorectal malformation, duplication of the colon and lower urinary tract, split of the lower spine, and lipomyelomeningocele with tethering of the cord. We report this exceptional case of caudal duplication syndrome with special emphasis on surgical strategy and approach combining all disciplines involved. The purpose of this report is to present the pathology, assessment, and management strategy of this complex case.
尾端重复综合征是一种罕见的疾病,描述了涉及尾端结构的先天性异常之间的关联,可能有广泛的临床表现。一名足月男婴出现多种异常组合,包括肛门直肠畸形、结肠和下尿路重复、下脊柱分裂以及伴有脊髓栓系的脂肪脊髓脊膜膨出。我们报告这例特殊的尾端重复综合征病例,特别强调结合所有相关学科的手术策略和方法。本报告的目的是介绍这一复杂病例的病理学、评估和管理策略。