A case of sigmoid colon duplication in an adult woman
Autor: | Faisal Al-Zayer, Abdul-Wahed N. Meshikhes, Abdulla H. Al-Jaroof |
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Rok vydání: | 2014 |
Předmět: |
Adult
medicine.medical_specialty Constipation Exploratory laparotomy medicine.medical_treatment Physical examination Anastomosis Article Diagnosis Differential Colonic Diseases Colon Sigmoid Laparotomy medicine Humans Colectomy medicine.diagnostic_test business.industry General surgery Anastomosis Surgical Sigmoid colon General Medicine digestive system diseases Surgery medicine.anatomical_structure Vomiting Female medicine.symptom Tomography X-Ray Computed business Rare disease |
Zdroj: | Case Reports. 2014:bcr2014203874-bcr2014203874 |
ISSN: | 1757-790X |
DOI: | 10.1136/bcr-2014-203874 |
Popis: | Colonic duplication is a rare congenital anomaly that is often diagnosed in childhood, but may go unrecognised until adulthood. It often presents with chronic abdominal pain and constipation, and the preoperative diagnosis may be difficult. We present a case of sigmoid duplication in a 33-year-old Indonesian woman who presented with right-sided colicky abdominal pain and vomiting. Clinical examination was unremarkable and radiological investigations raised the possibility of a giant colon diverticulum. The patient underwent exploratory laparotomy that revealed a tubular sigmoid duplication. A sigmoid colectomy with end-to-end anastomosis was performed. She was discharged a week later and remained well at 1 year follow-up. Colon duplications rarely present in adult life and the accurate diagnosis is often made at laparotomy. |
Databáze: | OpenAIRE |
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