Nakamura Kumiko, Tamura Akio, Kono Tomoaki, Oshima Tadayuki, Fukui Hirokazu, Hirota Seiichi, Tsukamoto Kiyoshi, Tomita Naohiro, Watari Jiro, Miwa Hiroto
Division of Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine.
Department of Surgical Pathology, Hyogo College of Medicine.
Nihon Shokakibyo Gakkai Zasshi. 2018;115(2):211-218. doi: 10.11405/nisshoshi.115.211.
A 16-year-old woman identified with colonic distention using chest X-rays visited our hospital. Although abdominal computed tomography (CT), colonoscopy, and barium enema study indicated suspected duplication of the sigmoid colon, the exact portion of communication between the normal colon and the duplicated colon could not be determined. The patient was released, but followed up due to the lack of symptoms. After 7 months, she was urgently re-hospitalized due to the complaint of abdominal pain. Her abdominal CT revealed the wall thickness and distention of the duplication as well as voluminous stool containing barium. After the improvement of her symptoms and on the basis of the inflammatory findings, laparoscopic surgery was performed on the patient. Finally, the lesion was diagnosed as tubular- and continuous-type colonic duplication. Duplication of the colon is a relatively rare occurrence in adulthood. Herein, we report a case of duplication of the sigmoid colon diagnosed prior to surgery in an adult.
一名16岁女性因胸部X线检查发现结肠扩张前来我院就诊。尽管腹部计算机断层扫描（CT）、结肠镜检查和钡剂灌肠检查提示乙状结肠疑似重复畸形，但正常结肠与重复结肠之间的确切连通部位无法确定。患者出院，但因无症状而进行随访。7个月后，她因腹痛主诉而紧急再次入院。其腹部CT显示重复畸形处肠壁增厚及扩张，还有大量含钡粪便。在症状改善后，基于炎症表现，对该患者实施了腹腔镜手术。最终，病变被诊断为管状连续型结肠重复畸形。结肠重复畸形在成年人中相对少见。在此，我们报告一例成年患者术前诊断为乙状结肠重复畸形的病例。
