title: Caudal Duplication Syndrome: the Vital Role of a Multidisciplinary Approach and Staged Correction.
abstract: Caudal duplication syndrome is a rare entity that describes the association between congenital anomalies involving caudal structures and may have a wide spectrum of clinical manifestations. A full-term male presented with combination of anomalies including anorectal malformation, duplication of the colon and lower urinary tract, split of the lower spine, and lipomyelomeningocele with tethering of the cord. We report this exceptional case of caudal duplication syndrome with special emphasis on surgical strategy and approach combining all disciplines involved. The purpose of this report is to present the pathology, assessment, and management strategy of this complex case.
authors.affiliation: Department of Pediatric Surgery, Schneider Children's Medical Center, Sackler Medical School, University of Tel Aviv, Petach Tikvah, Israel.
authors.forename: Inbal
authors.initials: I
authors.lastname: Samuk
authors.affiliation: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, Ohio, United States.
authors.forename: Marc
authors.initials: M
authors.lastname: Levitt
authors.affiliation: Department of Pediatric Surgery, Schneider Children's Medical Center, Sackler Medical School, University of Tel Aviv, Petach Tikvah, Israel.
authors.forename: Elena
authors.initials: E
authors.lastname: Dlugy
authors.affiliation: Department of Pediatric Surgery, Schneider Children's Medical Center, Sackler Medical School, University of Tel Aviv, Petach Tikvah, Israel.
authors.forename: Dragan
authors.initials: D
authors.lastname: Kravarusic
authors.affiliation: Pediatric Urology Unit, Schneider Children's Medical Center, Sackler Medical School, University of Tel Aviv, Petach Tikvah, Israel.
authors.forename: David
authors.initials: D
authors.lastname: Ben-Meir
authors.affiliation: Pediatric Neurosurgery Unit, Schneider Children's Medical Center, Sackler Medical School, University of Tel Aviv, Petach Tikvah, Israel.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Rajz
authors.affiliation: Radiology Department, Schneider Children's Medical Center, Sackler Medical School, University of Tel Aviv, Petach Tikvah, Israel.
authors.forename: Osnat
authors.initials: O
authors.lastname: Konen
authors.affiliation: Department of Pediatric Surgery, Schneider Children's Medical Center, Sackler Medical School, University of Tel Aviv, Petach Tikvah, Israel.
authors.forename: Enrique
authors.initials: E
authors.lastname: Freud
keywords: anorectal malformation; caudal duplication syndrome; colonic duplication; genitourinary duplication; rectal duplication