Zamir O, Lernau O, Goldberg M, Nissencorn I, Nissan S
Dis Colon Rectum. 1984 Sep;27(9):615-7. doi: 10.1007/BF02553858.
A girl with a rare congenital malformation consisting of duplication of the urinary and genital tracts as well as of the entire colon, terminating in double rectogenital fistulas, is presented. Because of a small-capacity urinary bladder on one side and an atonic neurogenic bladder on the other side, urinary diversion was necessary. A preliminary diverting colostomy of the duplicated transverse colon was followed by anoplasty of one anus. Later on, the duplicated proximal colostomy was anastomosed to the one distal colon leading to the rectum with anoplasty. The treatment of this complex anomaly is described.
本文介绍了一名患有罕见先天性畸形的女孩,该畸形包括泌尿生殖道和整个结肠重复,并以双直肠生殖瘘结束。由于一侧膀胱容量小,另一侧为无张力神经源性膀胱,因此需要进行尿流改道。先对重复的横结肠进行初步的转流性结肠造口术,然后对一个肛门进行肛门成形术。随后,将重复的近端结肠造口与通向直肠的远端结肠进行吻合,并进行肛门成形术。描述了对这种复杂畸形的治疗方法。