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青春期出现的完全重复后肠异常:会阴部六个开口。

Complete duplicated hindgut anomaly presenting in adolescence: Six Ostia in perineum.

作者信息

Nayyar Rishi, Uppal Bharti, Krishna Asuri

机构信息

Department of Urology, All India Institute of Medical Sciences, New Delhi, India.

Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Urol. 2019 Jul-Sep;35(3):234-236. doi: 10.4103/iju.IJU_264_18.

DOI:10.4103/iju.IJU_264_18
PMID:31367078
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6639991/
Abstract

A 17-year-girl presenting with features of intestinal obstruction and managed with colostomy was referred for continuing to pass feces per anus despite a functioning colostomy. She was diagnosed with a rare congenital anomaly with duplication of urethra, bladder, vagina, uterus, anus, and distal colon; all openings close together in the perineum. Excision of the obstructed duplicated colon was done. The anomaly and its features are discussed with review of literature.

摘要

一名17岁女孩因肠梗阻症状接受结肠造口术治疗,但尽管结肠造口功能正常,仍持续经肛门排便,遂前来就诊。她被诊断患有一种罕见的先天性异常,即尿道、膀胱、阴道、子宫、肛门和远端结肠重复;所有开口在会阴处紧密相邻。对梗阻性重复结肠进行了切除。结合文献复习对该异常及其特征进行了讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f23/6639991/4134399166b7/IJU-35-234-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f23/6639991/7c6fbaeb3007/IJU-35-234-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f23/6639991/4134399166b7/IJU-35-234-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f23/6639991/7c6fbaeb3007/IJU-35-234-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f23/6639991/4134399166b7/IJU-35-234-g002.jpg

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1
Complete duplicated hindgut anomaly presenting in adolescence: Six Ostia in perineum.青春期出现的完全重复后肠异常:会阴部六个开口。
Indian J Urol. 2019 Jul-Sep;35(3):234-236. doi: 10.4103/iju.IJU_264_18.
2
Diphallus with imperforate anus and complete duplication of recto-sigmoid colon and lower urinary tract.双阴茎伴肛门闭锁以及直肠乙状结肠和下尿路完全重复畸形。
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Hindgut duplication. Report of a patient with long-term follow-up.后肠重复畸形。一例长期随访患者的报告。
Dis Colon Rectum. 1984 Sep;27(9):615-7. doi: 10.1007/BF02553858.
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Tubular Colonic Duplication Presenting as Rectovestibular Fistula.表现为直肠前庭瘘的管状结肠重复畸形
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Complete duplication of the bladder, urethra, vagina, and uterus in girls.女童膀胱、尿道、阴道和子宫完全重复畸形。
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Duplication of the male urethra.男性尿道重复畸形。
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A case of congenital imperforate anus and absent vagina with a functioning uterus.一例先天性肛门闭锁合并阴道缺如但子宫功能正常的病例。
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An unusual presentation of urethral duplication presenting with chronic bladder retention, left scrotal transposition and left renal agenesis.尿道重复畸形的一种不常见表现,伴有慢性膀胱潴留、左侧阴囊转位和左侧肾缺如。
Int Braz J Urol. 2018 Mar-Apr;44(2):409-410. doi: 10.1590/S1677-5538.IBJU.2016.0119.

本文引用的文献

1
Female Caudal Duplication Syndrome: A Surgical Case Report With 10-Year Follow-up and Review of the Literature.女性尾端重复综合征:一例手术病例报告及10年随访与文献复习
Female Pelvic Med Reconstr Surg. 2018 Jul/Aug;24(4):e16-e20. doi: 10.1097/SPV.0000000000000576.
2
Cloacal Duplication: Single-center Experience in the Management of a Rare Anomaly.
Urology. 2017 Oct;108:171-174. doi: 10.1016/j.urology.2017.06.044. Epub 2017 Jul 10.
3
Caudal duplication syndrome: imaging evaluation of a rare entity in an adult patient.尾侧重复综合征:一名成年患者罕见病例的影像学评估
Radiol Case Rep. 2016 Jan 19;11(1):11-5. doi: 10.1016/j.radcr.2015.12.001. eCollection 2016 Mar.
4
A rare association of urogenital duplication and anorectal malformation.泌尿生殖系统重复畸形与肛门直肠畸形的罕见关联。
J Pediatr Surg. 2002 Nov;37(11):1623-5. doi: 10.1053/jpsu.2002.36197.
5
Caudal duplication syndrome.尾侧重复综合征
Am J Dis Child. 1993 Oct;147(10):1048-52. doi: 10.1001/archpedi.1993.02160340034009.
6
Bladder, urethral, and vaginal duplication.
J Pediatr Surg. 1995 Jan;30(1):125-6. doi: 10.1016/0022-3468(95)90630-4.