Caudal Duplication Syndrome: A Case Report of Challenging Imaging Findings and Management

Document Type : case report

Authors

1 Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad,Iran

2 Department of surgury,Akbar Hospital,Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

3 Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad,Iran.

4 Islamic Republic of Iran, Khorasan Razavi,Mashhad, Emamreza Hospital,Mashhad,Iran

Abstract

Caudal duplication syndrome is a rare congenital disease caused by duplication of cloaca and notochord embryonic structures in various forms. The estimated prevalence of this syndrome is 1 per 100,000 births. A range of anomalies is observed in urinary and gastrointestinal tracts as well as in skeletal and neural structures of the spine and even limbs of these patients. Various factors such as genetic disorders and conjoined twinning have been mentioned in etiology of the disease. We introduce a case of this rare disease referred to our center for imaging as an infant with increased soft tissue in perineum without excretion of meconium from birth but with evidence of duplication in the genitourinary system (vagina and urethra) and gastrointestinal tract (rectum and colon) that was subject to reconstructive surgery.

Keywords

References

  1. Banu, T., T.K. Chowdhury, and M. Hoque, Congenital double anus with total colon duplication:a case report journal of pediatric surgery, 2007. 42: p. e1-e2.
  2. Fotiadis, C., Genetzakis M, Papandreou I, Misiakos PE, Agapitos E, Zografos GC. Colonic duplication in adults: Report of two cases presenting with rectal bleeding. World J Gastroenterol. 2005.11(32):p.5072-5074.
  3. Shah, K.R. Joshi, A. Complete genitourinary and colonic duplication: a rare presentation in an adult patient. Journal of ultrasound in medicine. 2006. 25(3): p.407-411.
  4. Mei, J.Y., M.-L.T. Nguyen, and S. Raz, Female Caudal Duplication Syndrome:A Surgical Case Report With10-Year Follow-up and Review of the Literature. Female Pelvic Medicine & Reconstructive Surgery, 2018. 24(4): p. e16-e20.
  5. Hu, T., T. Browning, and K. Bishop, Case Report of Caudal duplication syndrome: imaging evaluation of a rare entity in an adult patient. Science Direct, 2016. 11(1): p. 11-15.
  6. Incesu, L., T.N. Karaismailoglu, and M.B. Selcuk, Neurologically Normal Complete Asymmetric Lumbar Spine Duplication. American Journal of Neuroradiology, 2004. 25(5): p. 895-896.
  7. Matta H, Nawaz A, Jacobsz AW, Al-Salem A. A rare association of urogenital duplication and anorectal malformation. Journal of Pediatric SurgeryVol. 37, Issue 11, November 2002, Pp 1623-25.
  8. Bansal, G, Ghosh D, George U, Bhatti W, Unusual coexistence of caudal duplication and caudal regression syndromes. Journal of Pediatric Surgery, 2011. 46(1): p. 256-258.
  9. Herman, T.E. and M.J. Siegel, Colorectal tubular enteric duplication. Journal of Perinatology, 2009. 29(11): p. 774–776.
  10. Sengar, M, Gupta CR, Jain V, Mohta A. Colorectal duplication with prostatorectal fistula. Journal of Pediatric Surgery, 2013. 48(4): p. 869-872.
  11. Nahla, K., Nahla K, Farhani R, Lamiri R, Mekki M, Belguith M, Nouri A. Unusual Recto-colonic Tubular Duplication in a Female Neonate. Journal of Neonatal Surgery. 2019.8(1): p.5.
  12. Destro, F. et al., Total colonic tubular duplication causing severe constipation. Journal of Pediatric Surgery Case Reports, 2019.48:101274.
Journal of Pediatric Perspectives
Volume 10, Issue 8
August 2022
Pages 16614-16619

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