Published online Oct 26, 2022. doi: 10.12998/wjcc.v10.i30.11037
Peer-review started: May 21, 2022
First decision: June 27, 2022
Revised: July 7, 2022
Accepted: September 6, 2022
Article in press: September 6, 2022
Published online: October 26, 2022
Processing time: 153 Days and 2 Hours
Alimentary tract duplication (ATD) is a rare congenital anomaly. Thus, a case of ATD with a complete colonic duplication isolated in the abdominal cavity with a fistula and multiple malformations is very distinctive. These characteristics show the variability of this disease and explain why it tends to be challenging to dia
A 25-year-old woman with a history of a fistula opening in her right hip since birth presented with the irregular discharge of foul fluid from the fistula and intermittent abdominal pain. Contrast-enhanced computed tomography and magnetic resonance imaging findings revealed a duplicated tube isolated in her abdominal pelvic cavity along with a pelvic malformation and double ureter. Right foot radiographic examination showed pes cavus. During surgery, the tube appeared to be an almost complete colonic structure and was verified to be con
ATD may be a differential diagnosis in sinus tract cases. Laparoscopy combined with open surgery is a viable treatment option.
Core Tip: This report is an uncommon case even among the rare alimentary tract duplication (ATD) cases. An entire colonic duplication without any connection to the digestive system was isolated in the abdomen pelvic. The presence of chronic sinus and several abnormalities appearing in a single case is extremely unique. There is little understanding of this disease with no consensus on the diagnosis and treatment. Additionally, the variable clinical features often lead to misdiagnosis. Here we present a successful diagnosis and treatment approach to improve the knowledge for the care of ATD cases.