[Total tubular colonic duplication in a neonate with rectal bleeding: value of the endoscopy in the diagnose and treatment].
Gastrointestinal duplication is an infrequent congenital abnormality. Colonic and tubular duplications are the least common. In neonates there are few described cases. It's difficult to identify the duplication preoperatively and a standard surgical approach has not been developped. We report a neonate with bleeding of the digestive tube who presented a colonic duplication who required multiple diagnostic test before the diagnosis was made for colonoscopy. Laparotomy showed a total tubular duplication of the right, transverse and left colon with proximal and distal communication. Exclusion of the duplicated segment was performed, but three months after the operation, subocclusion due to stenosis of the colonic distal loop was developed. This finding was confirmed by a second colonoscopy and septum was partially removed. The study implies that CD, though uncommon, should be included in the differential diagnosis of rectal bleeding and the importance of the colonoscopy in the diagnosis and treatment of this malformation.
Piñera
M J Guirao
MJ
Servicio de Cirugía Pediátrica, Hospital Universitario Virgen de la Arrixaca, Murcia. mjs_gpinera@hotmail.com
Morote
J M Sánchez
JM
Bermejo
J P Hernández
JP
Vallejo
O Girón
OG
Alberca
F
F
Ruiz
S Chacón
SC
Serradilla
J L Roqués
JL
Carmona
G A Zambudio
GA
Cantó
M A Gutiérrez
MA
D003106:Colon / Q000002:abnormalities* / Q000601:surgery*; D003108:Colonic Diseases / Q000175:diagnosis* / Q000601:surgery*; D003113:Colonoscopy / Q000379:methods*; D006470:Hemorrhage / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male