摘要
BACKGROUNDColonic duplication is a rare congenital anomaly. Many types of heterotopic tissuewere identified within the wall of duplication. However, studies of ectopicimmature renal tissue (EIRT) involving colon duplication in an adult have yet tobe reported.CASE SUMMARYA 23-year-old woman visited our hospital with symptoms of recurrent abdominalpain and chronic constipation. Image analysis via abdomino-pelvic computedtomography, Gastrografin contrast study, and colonoscopy showed a blind anddilated bowel loop filled with fecal material located on the mesenteric side of thesigmoid colon. We established a diagnosis of sigmoid colon duplication anddecided to perform a laparoscopic investigation. Segmental resection of thesigmoid colon with duplication was done. Microscopically, the duplicatedsegment showed all three layers of the bowel wall and EIRT in the wall of theduplication. The postoperative period was uneventful and the patient wasdischarged nine days after the surgery without complications. She has been doingwell 12 mo after the follow-up period.CONCLUSIONA comprehensive histopathologic examination for ectopic tissues or tumors ismandatory after resection of colon duplication.
