Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2020; 8(15): 3291-3298
Published online Aug 6, 2020. doi: 10.12998/wjcc.v8.i15.3291
Successful management of tubular colonic duplication using a laparoscopic approach: A case report and review of the literature
Gan-Bin Li, Jia-Gang Han, Zhen-Jun Wang, Zhi-Wei Zhai, Yu Tao
Gan-Bin Li, Jia-Gang Han, Zhen-Jun Wang, Zhi-Wei Zhai, Yu Tao, Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
Author contributions: Han JG participated in the management of this case, designed and collected materials for this report, and was in charge of revising the manuscript; Wang ZJ participated in the management of this case and was in charge of revising the manuscript; Li GB participated in the management of this case, collected the material of this case, and drafted the manuscript; Zhai ZW and Tao Y participated in the management of this case; All authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jia-Gang Han, MD, PhD, Assistant Professor, Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, No. 8 South Gongti Road, Chaoyang District, Beijing 100020, China. hjg211@163.com
Received: March 26, 2020
Peer-review started: March 26, 2020
First decision: May 22, 2020
Revised: May 25, 2020
Accepted: July 14, 2020
Article in press: July 14, 2020
Published online: August 6, 2020
Abstract
BACKGROUND

Alimentary duplication is a rare congenital disease with a reported incidence of 1 per 4500 persons, although the exact incidence has been difficult to ascertain. According to previous reports, the most common site of duplication is the ileum, and colonic duplication is rare. Due to different types and locations of the duplication, the manifestations are varied, which makes establishing an accurate diagnosis before surgery a challenge.

CASE SUMMARY

A 17-year-old female patient sought evaluation in our department with constipation and chronic abdominal pain for 12 years; she had difficulty defecating and had dry stools since she was a child. An abdominal computed tomography revealed two extremely enlarged loops of bowel full of stool-like intestinal contents in the left lower abdomen, which led us to consider the possibility of colonic duplication. A laparoscopic exploration was performed, which revealed a tubular duplicated colon that shared a common opening with the transverse colon. A left hemi-colectomy was performed with a side-to-side anastomosis. The pathologic results confirmed the diagnosis. At the 6-mo follow-up, the patient was doing well without constipation or abdominal pain.

CONCLUSION

Colonic duplication is a rare alimentary abnormality in adults. Due to the non-specific manifestations and low incidence, it is usually difficult to make an accurate diagnosis pre-operatively. Surgery is the mainstay of treatment, even though some patients are asymptomatic.

Keywords: Colonic duplication, Diagnosis, Laparoscopy, Case report

Core tip: Colonic duplication is an uncommon congenital disease, and the manifestations vary greatly according to different types and locations of duplication. Most cases are diagnosed and treated before the age of 2 years. Due to non-specific manifestations and low incidence, it is rather a challenge to make an accurate diagnosis before surgery. Surgery should be considered as first-line treatment even though some patients are asymptomatic.