Cai X, Bi JT, Zheng ZX, Liu YQ. Complete colonic duplication presenting as hip fistula in an adult with pelvic malformation: A case report. World J Clin Cases 2022; 10(30): 11037-11043 [PMID: 36338216 DOI: 10.12998/wjcc.v10.i30.11037]
Corresponding Author of This Article
Xuan Cai, MD, Attending Doctor, Department of General Surgery, Beijing Jishuitan Hospital, No. 68 Xinjiekou East Street, Xicheng District, Beijing 100035, China. cx05011010025@gmail.com
Research Domain of This Article
Anatomy & Morphology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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/
World J Clin Cases. Oct 26, 2022; 10(30): 11037-11043 Published online Oct 26, 2022. doi: 10.12998/wjcc.v10.i30.11037
Complete colonic duplication presenting as hip fistula in an adult with pelvic malformation: A case report
Xuan Cai, Jing-Tao Bi, Zhi-Xue Zheng, Ya-Qi Liu
Xuan Cai, Jing-Tao Bi, Zhi-Xue Zheng, Ya-Qi Liu, Department of General Surgery, Beijing Jishuitan Hospital, Beijing 100035, China
Author contributions: Cai X was responsible for gathering, analyzing, and interpreting the patient data regarding this case, and was a major contributor to writing the manuscript; Bi JT, Zheng ZX, and Liu YQ participated in the treatment; All authors read and approved the final manuscript.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection before study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xuan Cai, MD, Attending Doctor, Department of General Surgery, Beijing Jishuitan Hospital, No. 68 Xinjiekou East Street, Xicheng District, Beijing 100035, China. cx05011010025@gmail.com
Received: May 21, 2022 Peer-review started: May 21, 2022 First decision: June 27, 2022 Revised: July 7, 2022 Accepted: September 6, 2022 Article in press: September 6, 2022 Published online: October 26, 2022
Abstract
BACKGROUND
Alimentary tract duplication (ATD) is a rare congenital anomaly. Thus, a case of ATD with a complete colonic duplication isolated in the abdominal cavity with a fistula and multiple malformations is very distinctive. These characteristics show the variability of this disease and explain why it tends to be challenging to diagnose and treat.
CASE SUMMARY
A 25-year-old woman with a history of a fistula opening in her right hip since birth presented with the irregular discharge of foul fluid from the fistula and intermittent abdominal pain. Contrast-enhanced computed tomography and magnetic resonance imaging findings revealed a duplicated tube isolated in her abdominal pelvic cavity along with a pelvic malformation and double ureter. Right foot radiographic examination showed pes cavus. During surgery, the tube appeared to be an almost complete colonic structure and was verified to be connected to the fistula. All of the involved tissue and fistula were removed, and the defect in the pelvic floor was closed by suturing after surgery. After 8 mo, the postoperative follow-up has been uneventful.
CONCLUSION
ATD may be a differential diagnosis in sinus tract cases. Laparoscopy combined with open surgery is a viable treatment option.
Core Tip: This report is an uncommon case even among the rare alimentary tract duplication (ATD) cases. An entire colonic duplication without any connection to the digestive system was isolated in the abdomen pelvic. The presence of chronic sinus and several abnormalities appearing in a single case is extremely unique. There is little understanding of this disease with no consensus on the diagnosis and treatment. Additionally, the variable clinical features often lead to misdiagnosis. Here we present a successful diagnosis and treatment approach to improve the knowledge for the care of ATD cases.
