Giant T-shaped duplication of the transverse colon. A case report.
A case of long diverticular colonic duplication producing acute abdominal pain in a 6-year-old girl is presented. Physical examination showed no signs of acute abdomen at the initial presentation. After a pain-free interval, there was a sudden onset of severe abdominal pain and a large tumor in the lower abdomen was observed. A plain x-ray showed an enormously dilated colonic pouch filled with gas. Excision of the T-shaped duplication and small part of the transverse colon was successful. Because of extensive fibrotic changes in the colon near the opening of duplication, a resection margin of at least 2 cm is recommended.
Trotovsek
Blaz
B
Department of Abdominal Surgery, University Medical Centre, SI-1000 Ljubljana, Slovenia.
Hribernik
Marija
M
Gvardijancic
Diana
D
Jelenc
Franc
F
D000006:Abdomen, Acute / Q000209:etiology*; D002648:Child; D044684:Colon, Transverse / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery*; D004241:Diverticulum, Colon / Q000209:etiology / Q000601:surgery*; D005260:Female; D005355:Fibrosis; D006801:Humans