European J Pediatr Surg Rep. 2015; 03(01): 050-053
DOI: 10.1055/s-0035-1544976
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Systematic Imaging Module in Complete Hindgut Duplication

Ashish Verma
1   Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
,
Prashant Nath Gupta
1   Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
,
Vaibhav Pandey
2   Department of Pediatric Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
,
Shivi Jain
1   Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
,
Ashish Upadhyay
1   Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
,
Jitendra Sharma
1   Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
,
Ram C. Shukla
1   Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
› Author Affiliations
Further Information

Publication History

27 September 2014

16 December 2014

Publication Date:
10 March 2015 (online)

Abstract

Complete hind gut and anal canal duplication is a rare entity, usually remaining asymptomatic till the disease comes to light due to associated anomalies or due to cosmetic reasons. Classical imaging consisting of barium enema examination served a limited role, in terms of depicting the length of gut segment involved. Technical advances in magnetic resonance imaging (MRI) with three-dimensional (3D) reformations cannot only solve the above purpose but further evaluate key points needed for surgical planning. The present technical report lays out a systematic module for evaluation of various aspects of complete hindgut duplication, critical for management. The role of 3D MRI is emphasized upon, for evaluation of pelvic floor and anorectum, even in infants with a distorted anatomy.

 
  • References

  • 1 Fotiadis C, Genetzakis M, Papandreou I, Misiakos EP, Agapitos E, Zografos GC. Colonic duplication in adults: report of two cases presenting with rectal bleeding. World J Gastroenterol 2005; 11 (32) 5072-5074
  • 2 Macpherson RI. Gastrointestinal tract duplications: clinical, pathologic, etiologic, and radiologic considerations. Radiographics 1993; 13 (5) 1063-1080
  • 3 Sengar M, Gupta CR, Jain V, Mohta A. Colorectal duplication with prostatorectal fistulae. J Pediatr Surg 2013; 48 (4) 869-872
  • 4 Singh S, Ahmed I, Rawat J, Panday A. Association of anorectal malformation with duplicated colon, sacral meningomyelocele and scrotal anomalies. BMJ Case Rep 2011; pii: bcr1220103632
  • 5 Khaleghnejad Tabari A, Mirshemirani A, Khaleghnejad Tabari N. Complete colonic duplication in children. Caspian J Intern Med 2012; 3 (2) 436-439
  • 6 Okoro PE, Obiorah C. Duplication cyst of the bowel causing ileal volvulus. A case report. Niger J Med 2010; 19 (2) 230-232
  • 7 Puligandla PS, Nguyen LT, St-Vil D , et al. Gastrointestinal duplications. J Pediatr Surg 2003; 38 (5) 740-744
  • 8 Kelly JH. The clinical and radiological assessment of anal continence in childhood. Aust N Z J Surg 1972; 42 (1) 62-63
  • 9 Dombale V, Patil BV, Kadam SA, Kerudi BH. Enteric duplication cyst of cecum presenting with intestinalobstruction – A case report. JKIMSU 2012; 1 (2) 147-149
  • 10 Holcomb III GW, Gheissari A, O'Neill Jr JA, Shorter NA, Bishop HC. Surgical management of alimentary tract duplications. Ann Surg 1989; 209 (2) 167-174
  • 11 Pruthi S, Parisi MT. 'Double trouble': incidental diagnosis of colonic duplication on spinal MRI. Pediatr Radiol 2008; 38 (10) 1143
  • 12 Van Elst F, Hubens A. Duplication of the colon in the adult (author's transl) [in Dutch]. Acta Chir Belg 1978; 77 (5) 335-342
  • 13 Frittelli P, Costa G, Zanella L, Sguazzini G, Rossi FS. Intestinal duplication in the adult. A case report of colonic duplication and a review of the literature [in Italian]. Chir Ital 2002; 54 (5) 721-728
  • 14 Salvador II, Modelli ME, Pereira CR. Tubular duplication of the colon: a case report and review of the literature [in Portuguese]. J Pediatr (Rio J) 1996; 72 (4) 254-257
  • 15 O'Neil J, Rowe M. Duplications of the gastrointestinal tract. In: Essentials of Pediatric Surgery. St. Louis, MO: Mosby Yearbook; 1995: 520-525
  • 16 Law YM, Fielding JR. MRI of pelvic floor dysfunction: review. AJR Am J Roentgenol 2008; 191 (6, Suppl): S45-S53
  • 17 Engin G. Endosonographic imaging of anorectal diseases. J Ultrasound Med 2006; 25 (1) 57-73