Case Report
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World J Gastroenterol. Jan 28, 2013; 19(4): 586-589
Published online Jan 28, 2013. doi: 10.3748/wjg.v19.i4.586
Duplication of the transverse colon in an adult: Case report and review
Filippo Banchini, Rocco Delfanti, Evelina Begnini, Maria Candida Tripodi, Patrizio Capelli
Filippo Banchini, Rocco Delfanti, Evelina Begnini, Patrizio Capelli, Department of General Surgery, Ospedale Guglielmo da Saliceto, 29100 Piacenza, Italy
Maria Candida Tripodi, UO Fibrosi Cistica Dipartimento Materno Infantile Azienda Ospedaliera Universitaria di Parma, 43126 Parma, Italy
Author contributions: Banchini F, Delfanti R, Begnini E, Tripodi MC and Capelli P contributed to the manuscript writing and revision.
Correspondence to: Filippo Banchini, MD, Department of General Surgery, Ospedale Guglielmo da Saliceto, Via Taverna 49, 29100 Piacenza, Italy. filippobanchini@virgilio.it
Telephone: +39-523-303160 Fax: +39-523-303173
Received: August 30, 2012
Revised: November 19, 2012
Accepted: November 24, 2012
Published online: January 28, 2013
Processing time: 152 Days and 19 Hours
Abstract

Tubular duplication of the colon is very rare especially in adulthood, because it is frequently symptomatic earlier in newborn life, so only few cases are reported in literature. Several theories are proposed to explain the onset and the evolution of gut malformations as the aberrant lumen recanalization or the diverticular theory, the alteration of the lateral closure of the embryonal disk or finally the dorsal protrusion of the yolk-sac for herniation or adhesion to the ectoderm for an abnormality of the longitudinal line, but none clarifies the exact genesis of duplication. We present a case of “Y-shaped” tubular duplication of the transverse colon in a 21-year-old adult, with a history of chronic pain and constipation, referred to our department for abdominal pain with retrosternal irradiation, treated with the resection of the aberrant bowel.

Keywords: Colonic diseases; Colorectal duplication; Neogenesis; Colonic duplication; Transverse duplication