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Colonic tubular duplication combined with congenital megacolon:A case report

World Journal of Clinical Cases 2022年第34期10卷 12768-12774页

作者： Zhe-Ming Zhang Shuai Kong Xin-Xin Gao Xiang-Hao Jia Chun-Ning Zheng School of Clinical Medicine Weifang Medical UniversityWeifang 261053Shandong ProvinceChina Department of Gastrointestinal Surgery Provincial Hospital Affiliated to Shandong First Medical UniversityJinan 250000Shandong ProvinceChina

BACKGROUND Colonic duplication refers to a spherical or tubular cavity which shows similar properties with the native colon and is attached to the mesenteric side of the alimentary *** is the rarest in alimentary tract *** upon anatomic feature,colonic duplications can be classified as spherical(cystic)or tubular,with the latter being less common(approximately 20%).Symptoms of colonic duplication are dependent on the duplication site and extent,and patient age,***,patients with colonic duplication manifest typical intestinal obstruction,potentially accompanied by recurrent dark or bright red bloody stool,varying degrees of anemia-related symptoms,and body *** SUMMARY A young male patient was admitted to our hospital due to recurrent abdominal *** definite diagnosis was achieved by computed tomography(CT)or electronic colonoscopy,and the bowel preparation efficacy was *** disease was suspected,and thus laparoscopic exploration was *** approximately 60-cm-long inverted duplicated colon with severe edema and dilation was *** originated from the mesenteric side of the transverse colon and ended in the terminal part of the descending colon with a blind *** parallel native colon had a thickened colonic wall,became stiff,and was poor in *** patient then underwent subtotal colectomy and was discharged 7 d after the *** 3 mo post-surgery to date,the patient had regular bowel movement once daily and a steady increase in body *** Tubular colonic duplication is a rare type of alimentary tract duplication that can be detected by ultrasonography,CT,or magnetic resonance imaging based on the actual clinical *** resection of aberrant colon(including the duplicated colonic segment and other potentially involved colonic segments)is the only approach to cure this medical condition.

关键词： Colonic duplication Chronic constipation Subtotal colectomy congenital megacolon Case report

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