[Sigmoid colon duplication: an adult case report.]. 2009

R G Vargas-de la Llata, and G García-Huerta, and Felipe Gutiérrez-Mata, and O Noriega-Maldonado, and H J Dorantes-González, and C López-Giacoman
Servicio de Coloproctología. Hospital General Zacatecas, Servicios de Salud de Zacatecas. Zacatecas, México. rgvarqas90@hotmail.com

Colonic duplication is a very uncommon congenital malformation. Most cases are detected during childhood and may occur with other systemic malformations. Since 1950, less than 90 cases of colonic duplication have been reported. In this study, we report the case of a 33-year-old female who was referred to our coloproctology service for evaluation. Since 16 years ago, she has noticed an intermittent left side painless abdominal mass that sometimes spontaneously disappears. In the last months, she reported that the frequency of this complaint has been more frequent. A barium enema X ray study revealed a significant dilation of the descendent and sigmoid colon. An exploratory laparotomy was performed and sigmoid colon duplication was found. The abnormal segment was removed and an end-to-end anastomosis was performed. There were no complications in the postoperative period and she was discharged at day 7. This case describes the difficulties in detecting this rare malformation that should be considered as part of the differential diagnosis of abdominal masses in adult patients.

UI MeSH Term Description Entries
D007813 Laparotomy Incision into the side of the abdomen between the ribs and pelvis. Minilaparotomy,Laparotomies,Minilaparotomies
D008800 Mexico A country in NORTH AMERICA, bordering the Caribbean Sea and the Gulf of Mexico, between BELIZE and the UNITED STATES, and bordering the North Pacific Ocean, between Guatemala and the UNITED STATES.
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D003106 Colon The segment of LARGE INTESTINE between the CECUM and the RECTUM. It includes the ASCENDING COLON; the TRANSVERSE COLON; the DESCENDING COLON; and the SIGMOID COLON. Appendix Epiploica,Taenia Coli,Omental Appendices,Omental Appendix,Appendices, Omental,Appendix, Omental
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012809 Colon, Sigmoid A segment of the COLON between the RECTUM and the descending colon. Sigmoid,Sigmoid Colon
D013505 Digestive System Surgical Procedures Surgery performed on the digestive system or its parts. Gastrointestinal Surgical Procedures,Digestive System Surgical Procedure,Gastrointestinal Surgical Procedure,Procedure, Digestive System Surgical,Procedure, Gastrointestinal Surgical,Procedures, Digestive System Surgical,Procedures, Gastrointestinal Surgical,Surgical Procedure, Digestive System,Surgical Procedure, Gastrointestinal,Surgical Procedures, Digestive System,Surgical Procedures, Gastrointestinal

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