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Karamatzanis I, Kosmidou P, Harmanis S, Karamatzanis I, Harmanis G. Early Diagnosis of Anal Canal Duplication: The Importance of a Physical Examination. Cureus 2022; 14:e25040. [PMID: 35719790 PMCID: PMC9199309 DOI: 10.7759/cureus.25040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/16/2022] [Indexed: 11/13/2022] Open
Abstract
Anal canal duplication (ACD) is an extremely rare congenital anomaly of the intestinal tract that presents as an extra opening of the anal canal without communication with the anorectum. We present the case of a five-year-old male presenting to the pediatrician without symptoms and upon physical examination, a duplicated anal canal along the midline was discovered. The patient was admitted for surgery and the canal was removed via mucosal stripping. Postoperatively, the patient recovered well. The present study aims to expand on our knowledge of a very rare pathological entity and emphasize the importance of a complete pediatric physical examination.
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Li D, Liu S, Feng J, Yang J. Anal Canal Duplication Mimicking Recurrent Abscess: A Case Report and Review of the Literature. Front Surg 2022; 9:908390. [PMID: 35647015 PMCID: PMC9133505 DOI: 10.3389/fsurg.2022.908390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 04/21/2022] [Indexed: 11/13/2022] Open
Abstract
BackgroundAnal canal duplication (ACD) is a very rare duplication of the gastrointestinal tract and is described as a secondary anal orifice along the posterior side of the normal anal canal. Early surgical removal is advisable, also in asymptomatic patients, because of the risk of inflammatory complications, such as recurrent crissum abscess, and malignant changes.Case presentationA previously healthy 2-year-old boy was evaluated in the emergency department with fever. He complained of anal pain in the absence of incentive. Physical examination and ultrasound confirmed a diagnosis of perianal abscess. He was treated with incision and drainage of the abscess and intravenous antibiotics. Two months after his discharge from the hospital, he developed fever and had intervals discharge pus and pain in the same locations. Colorectal endoscopy revealed that there was no fistula opening at the rectal wall. Intraoperative fistulography showed a fistulous tract that was connected to a subcutaneous cavity. Excision of the fistulous tract and wide drainage of the deep postanal space were performed. The patient was referred to our hospital for further evaluation 6 months later. Physical examination showed a secondary anus that had not been noticed before. MRI showed an anal fistula between 1 and 3 o’clock, and preoperative fistulography revealed a 3-cm-long tubular structure without any connection with the rectum. The diagnosis of ACD was made by intraoperative examination with a metal catheter and the postoperative pathological analysis. The duplicated anal canal was resected completely via a perianal approach without any rectal injury. Histology showed a squamous epithelium in the distal end with some smooth-muscle fibers. After a follow-up of 8 months, the patient has been doing well.ConclusionRecurrent crissum abscess should raise clinical attention to alimentary tract congenital malformations such as ACD. Prompt recognition of these unique presentations of ACD is needed, and complete excision through a perineal approach or posterior sagittal approach is recommended.
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Affiliation(s)
- Dandan Li
- Department of Pediatric Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- Hubei Clinical Center of Hirschsprung’s Disease and Allied Disorders, Wuhan, China
| | - Shuaibin Liu
- Department of Pediatric Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- Hubei Clinical Center of Hirschsprung’s Disease and Allied Disorders, Wuhan, China
| | - Jiexiong Feng
- Department of Pediatric Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- Hubei Clinical Center of Hirschsprung’s Disease and Allied Disorders, Wuhan, China
| | - Jixin Yang
- Department of Pediatric Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- Hubei Clinical Center of Hirschsprung’s Disease and Allied Disorders, Wuhan, China
- Correspondence: Jixin Yang
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Zheng Z, Xiao D, Wang J, Xu H, Mao J, Wang X. Case Report: Anal canal duplication associated with anorectal stenosis-A rare presentation. Front Pediatr 2022; 10:955845. [PMID: 36523396 PMCID: PMC9745053 DOI: 10.3389/fped.2022.955845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Accepted: 09/12/2022] [Indexed: 11/30/2022] Open
Abstract
Anal canal duplication is a rare gastrointestinal malformation characterized by extra anal orifices at 6 o'clock in the lithotomy position. To date, there have been only 110 reported cases. The purpose of this study is to contribute two infant cases, one of which is associated with anorectal stenosis, which has never been described.
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Affiliation(s)
- Zhen Zheng
- Department of General Surgery, Shenzhen Children's Hospital, Shenzhen, China.,College of Medicine, Shantou University, Shantou, China
| | - Dong Xiao
- Department of General Surgery, Shenzhen Children's Hospital, Shenzhen, China
| | - Junxiang Wang
- Department of General Surgery, Shenzhen Children's Hospital, Shenzhen, China
| | - Haozhong Xu
- Department of General Surgery, Shenzhen Children's Hospital, Shenzhen, China
| | - Jianxiong Mao
- Department of General Surgery, Shenzhen Children's Hospital, Shenzhen, China
| | - Xiuliang Wang
- Department of General Surgery, Shenzhen Children's Hospital, Shenzhen, China
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Connor SJ, Brisighelli G, Patel N, Levitt MA. Clinical Quiz-A Rare Case of Anal Canal Duplication in the Context of Currarino Syndrome. European J Pediatr Surg Rep 2021; 9:e68-e71. [PMID: 34777941 PMCID: PMC8580735 DOI: 10.1055/s-0041-1735595] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Accepted: 07/05/2021] [Indexed: 11/05/2022] Open
Abstract
Currarino syndrome (CS) is a rare condition that presents with any combination of a sacral defect, a presacral mass, and an anorectal malformation. This collection, referred to as Currarino's triad, may not necessarily present as all three abnormalities in the diagnosis of the syndrome. Anal canal duplication (ACD) is an even rarer occurrence. We present a case that lies on the CS spectrum with an associated ACD and discuss a complex surgical challenge that necessitated a customized management plan, devised through a multidisciplinary approach.
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Affiliation(s)
- Sean Jared Connor
- Department of Paediatric Surgery, Chris Hani Baragwanath Hospital, Johannesburg, Gauteng, South Africa.,University of the Witwatersrand School of Clinical Medicine, Johannesburg, Gauteng, South Africa
| | - Giulia Brisighelli
- Department of Paediatric Surgery, Chris Hani Baragwanath Hospital, Johannesburg, Gauteng, South Africa
| | - Nirav Patel
- Department of Paediatric Surgery, University of the Witwatersrand, Johannesburg, Gauteng, South Africa
| | - Marc A Levitt
- Department of Surgery, Colorectal and Pelvic Reconstructive Surgery, Children's National Hospital, Washington, District of Columbia, United States
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Anal Canal Duplication in an Adult Female-Case Report and Pathology Guiding. MEDICINA (KAUNAS, LITHUANIA) 2021; 57:medicina57111205. [PMID: 34833422 PMCID: PMC8618150 DOI: 10.3390/medicina57111205] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 10/29/2021] [Accepted: 11/02/2021] [Indexed: 01/13/2023]
Abstract
Anal canal duplication (ACD) is a very rare condition, diagnosed and treated mostly in childhood. Less than 90 cases have been reported in the literature so far. We are presenting a case of a young woman who underwent surgical excision of the duplication when she was 27 years old. The patient was unaware of her condition and was referred from a gynaecological office to the surgical department with a history of perianal discomfort and mucus discharge. Local examination showed an external orifice posterior to the anal opening, on the median line, which had the macroscopic appearance of a secondary anal orifice. The opening was about 0.5 cm in diameter. Exploration of the tract revealed a length of about 4 cm. MRI described the aforementioned tract, parallel to the anal canal, with no other anomalies mentioned. Under spinal anesthesia, with the patient in jackknife position, the accessory anal canal was surgically excised. The pathology report showed the presence of smooth muscle fibers and typical anal glands in the specimen. After a five-year follow-up, the patient showed no recurrence or any other related local symptoms. Absence of perianal abscess from the patient history, along with the macroscopic aspect of the opening similar to a secondary anal orifice on the midline, should raise the suspicion of ACD. Due to the lack of bothersome symptomatology, the patient did not seek any special investigations for her condition until she was in her late twenties. ACD is a very rare condition in adults that might pass unnoticed, but a midline opening posterior to the anus should always raise the suspicion of a secondary anal canal. Surgery is the only cure for this condition with good results after a proper pre-operative workout to reveal others simultaneous malformations.
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6
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Ailhaud A, Alao O, Sole Cruz E, Faguet R, Verot PL, Piolat C, Jacquier C, Rabattu PY. Anal canal duplication in children: a monocentric experience of 12 cases. Pediatr Surg Int 2021; 37:1007-1012. [PMID: 33900436 DOI: 10.1007/s00383-021-04910-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/15/2021] [Indexed: 11/21/2022]
Abstract
PURPOSE Anal canal duplication is a rare malformation characterized by a second perineal opening positioned behind the anus, which is generally observed at 6 o'clock in the lithotomy position. The purpose was to describe six new cases of anal canal duplication (in addition to our previously reported series of six patients) with the aim of providing further clinical information about this anomaly. METHODS We described 6 new cases of anal canal duplication in terms of symptoms, anatomical disposition, imaging results, and histopathology. Clinical details of these cases and those already reported (n = 12) were summarized and compared to existing literature. RESULTS A total of 12 cases were reported over 34 years. 17% of the patients were male, constituting the only subgroup to present a communication with the digestive tract. A single patient, diagnosed at 12 years, was symptomatic. Half of the patients had at least one associated malformation. All patients underwent surgery, either with a posterior sagittal or perineal approach. CONCLUSION Diagnosis of anal canal duplication should be suspected when a perineal opening positioned behind the anus is present, and necessitates further exploration by a comprehensive clinical examination and imaging. Surgery is always required, typically performed via a posterior sagittal approach. The postoperative course is usually uncomplicated.
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Affiliation(s)
- Antoine Ailhaud
- Department of Digestive Surgery, University Hospital of Grenoble, Grenoble, France
| | - Oyekashopefoluw Alao
- Department of Digestive Surgery, University Hospital of Grenoble, Grenoble, France
| | - Eva Sole Cruz
- LADAF, Anatomical Laboratory, Univ. Grenoble Alpes, Grenoble University Hospital, Grenoble, France.,2ID17 Biomedical Beamline, European Synchrotron Radiation Facility, Grenoble, France
| | - Romain Faguet
- Department of Pediatric Surgery, Children's Hospital, University Hospital of Grenoble, Grenoble, France
| | - Pierre-Louis Verot
- Department of Pediatric Surgery, Children's Hospital, University Hospital of Grenoble, Grenoble, France
| | - Christian Piolat
- Department of Pediatric Surgery, Children's Hospital, University Hospital of Grenoble, Grenoble, France
| | - Catherine Jacquier
- Department of Pediatric Surgery, Children's Hospital, University Hospital of Grenoble, Grenoble, France
| | - Pierre-Yves Rabattu
- LADAF, Anatomical Laboratory, Univ. Grenoble Alpes, Grenoble University Hospital, Grenoble, France. .,Department of Pediatric Surgery, Children's Hospital, University Hospital of Grenoble, Grenoble, France.
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7
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Akova F, Altinay S, Aydin E. The Controversy of Surgical Intervention for Anal Canal Duplication in Children. Pak J Med Sci 2020; 36:1330-1333. [PMID: 32968403 PMCID: PMC7501008 DOI: 10.12669/pjms.36.6.1832] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Objective: Since the first definition of anal canal little has been discovered about the etiology of this rare condition. We present four asymptomatic cases of anal canal duplication with diverse clinical and surgical findings. Methods: A retrospective chart review was performed on four infants presenting with asymptomatic anal canal duplication, born between 2014 and 2016. Clinical characteristics and pathologic findings of patients either by radiological imaging or pathology were evaluated. The primary outcome measure was the complications. Results: All patients were followed-up with physical examination and ultrasound for a mean of 3.5±1.0 years, lastly seen at the beginning of 2018. The female to male ratio was 3:1. Duplicate anal canal length varied between 12-20mm, and two of the four patients had a presacral cystic mass confirmed as a tail gut cyst following surgery. At follow-up, none of the patients had developed symptoms related to anal canal duplication, regardless of whether they had surgical intervention. Conclusion: Though surgical management is the preferred treatment for anal canal duplication, it seems that patients who do not undergo surgery might remain free of symptoms, suggesting that surgical intervention may be unnecessary.
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Affiliation(s)
- Fatih Akova
- Dr. Fatih Akova, MD. Assistant Professor, Pediatric Surgery Department, Biruni University, Istanbul, Turkey. Pediatric Surgery Department, University of Health Science, Faculty of Medicine, Bagcilar Training & Research Hospital, Istanbul, Turkey
| | - Serdar Altinay
- Dr. Serdar Altinay, MD. Associate Professor, Pathology Department, University of Health Science Bakırköy, Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Emrah Aydin
- Dr. Emrah Aydin, MD. Assistant Professor, Pediatric Surgery Department, Koc University School of Medicine, Istanbul, Turkey
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Trecartin AC, Peña A, Lovell M, Bruny J, Mueller C, Urquidi M, Bischoff A. Anal duplication: is surgery indicated? A report of three cases and review of the literature. Pediatr Surg Int 2019; 35:971-978. [PMID: 31256296 DOI: 10.1007/s00383-019-04509-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/20/2019] [Indexed: 11/28/2022]
Abstract
AIM OF THE STUDY Anal canal duplications (ACDs) are extremely rare with only approximately 90 cases described in the literature. We report on three additional patients. METHODS Cases were analyzed to evaluate presenting symptoms, physical exam and MRI findings. A comprehensive literature review was performed to compare our patients to previously described cases. IRB approval was obtained for this study (19-0394). MAIN RESULTS The first female patient presented with an asymptomatic ACD at 2 years old. The second patient was a 13-year-old female with perianal drainage that was initially mistaken for a fistula-in-ano and ultimately found to have an ACD associated with a dermoid cyst. Both posterior midline duplications shared a common wall with the rectum, but did not communicate with it. The ACDs and dermoid cyst were successfully excised through a posterior sagittal approach with no postoperative complications. Histology demonstrated the presence of both squamous epithelium and transitional anal epithelium in each case. The third patient was 8 months old and had a tethered cord, hemisacrum, presacral mass, and anal duplication that was initially undiagnosed. These results corroborate patterns identified in other reports of ACDs with over 90% being female and in the posterior midline. The majority are asymptomatic, but may present with symptoms of local or even systemic infection. CONCLUSION An opening in the midline posterior to the anus should raise clinical suspicion for anal canal duplication. An associated presacral mass must be ruled out. Complete excision through a posterior sagittal approach is recommended upon diagnosis to avoid symptomatic presentations. The key part of the operation is the separation of the ACD from the posterior rectal wall.
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Affiliation(s)
- A C Trecartin
- International Center for Colorectal and Urogenital Care, Department of Pediatric Surgery, Children's Hospital Colorado, 13123 East 16th Avenue, Box 323, Anschutz Medical Campus, Aurora, CO, 80045, USA
| | - A Peña
- International Center for Colorectal and Urogenital Care, Department of Pediatric Surgery, Children's Hospital Colorado, 13123 East 16th Avenue, Box 323, Anschutz Medical Campus, Aurora, CO, 80045, USA
| | - M Lovell
- Department of Pathology, Children's Hospital Colorado, Aurora, CO, USA
| | - J Bruny
- International Center for Colorectal and Urogenital Care, Department of Pediatric Surgery, Children's Hospital Colorado, 13123 East 16th Avenue, Box 323, Anschutz Medical Campus, Aurora, CO, 80045, USA
| | - C Mueller
- Department of Pediatric Surgery, Lucile Packard Children's Hospital, Palo Alto, CA, USA
| | - M Urquidi
- Department of Pediatric Surgery, Clinica Olivos, Cochabamba, Bolivia
| | - Andrea Bischoff
- International Center for Colorectal and Urogenital Care, Department of Pediatric Surgery, Children's Hospital Colorado, 13123 East 16th Avenue, Box 323, Anschutz Medical Campus, Aurora, CO, 80045, USA.
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Nakata M, Mitsunaga T, Terui E, Higashimoto Y, Iwai J. Recurrence of anal canal duplication with abscess formation. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2018. [DOI: 10.1016/j.epsc.2018.04.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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10
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Toyonaga T, Matsuda H, Mibu R, Tominaga Y, Hirata K, Takeyoshi M, Tsuneyoshi M. Anal Canal Duplication Associated with Presacral Cyst in an Adult. JOURNAL OF THE ANUS RECTUM AND COLON 2018; 2:31-35. [PMID: 31583320 PMCID: PMC6768825 DOI: 10.23922/jarc.2017-029] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/03/2017] [Accepted: 08/25/2017] [Indexed: 11/30/2022]
Abstract
Anal canal duplication (ACD) is a rare congenital malformation, usually detected early in life. We report a case of a 67-year-old female with symptomatic ACD associated with a presacral cyst. Physical examination revealed an accessory opening located in the midline, posterior to the true anus. Imaging examinations, including fistulography, endoanal ultrasonography, and magnetic resonance imaging, revealed a blind-ending fistulous tract without connecting with the rectum and a presacral cyst posterior to the rectum. Complete surgical excision of the tract with cyst was performed through a posterior sagittal approach. Histologic examination revealed squamous epithelium lining and smooth muscle bundles, thereby confirming ACD. The postoperative course was uneventful, and the patient was doing well; no recurrence was observed 4 years after surgery. ACD can present for the first time in infants, children, and adults. Imaging examinations are useful for the diagnosis and preoperative assessment of ACD. Therefore, ACD should be considered in the differential diagnosis, even in adults, when a posterior perineal orifice is encountered, particularly in female patients. Once ACD is suspected, intense imaging inspection is recommended to visualize the ACD and associated anomalies, and surgical removal is warranted to prevent inflammatory complications or malignant changes.
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Affiliation(s)
| | | | - Ryuichi Mibu
- Department of Surgery, Fukuoka Sanno Hospital, Fukuoka, Japan
| | - Yohei Tominaga
- Department of Surgery, Fukuoka Sanno Hospital, Fukuoka, Japan
| | - Keiji Hirata
- Department of Surgery, Fukuoka Sanno Hospital, Fukuoka, Japan
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Honda S, Minato M, Miyagi H, Okada H, Taketomi A. Anal canal duplication presenting with abscess formation. Pediatr Int 2017; 59:500-501. [PMID: 28244633 DOI: 10.1111/ped.13222] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2016] [Revised: 12/04/2016] [Accepted: 12/12/2016] [Indexed: 11/30/2022]
Affiliation(s)
- Shohei Honda
- Department of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, Sapporo, Japan
| | - Masashi Minato
- Department of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, Sapporo, Japan
| | - Hisayuki Miyagi
- Department of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, Sapporo, Japan
| | - Hiromi Okada
- Department of Surgical Pathology, Hokkaido University Hospital, Sapporo, Japan
| | - Akinobu Taketomi
- Department of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, Sapporo, Japan
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12
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Park J. Anal canal duplication associated with presacral teratoma in a 5-year old girl. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2017. [DOI: 10.1016/j.epsc.2017.02.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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13
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Arakawa T, Hwang SE, Kim JH, Wilting J, Rodríguez-Vázquez JF, Murakami G, Hwang HP, Cho BH. Fetal growth of the anal sinus and sphincters, especially in relation to anal anomalies. Int J Colorectal Dis 2016; 31:493-502. [PMID: 26615552 DOI: 10.1007/s00384-015-2455-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/19/2015] [Indexed: 02/04/2023]
Abstract
PURPOSE AND METHODS The anal sinuses, small furrows above the pectinate line, sometimes form perianal abscesses in adults. We examined the pattern of fetal growth of the anal sinus and sphincters using 22 mid-term (8-18 weeks) and 6 late-stage (30-38 weeks) fetuses. RESULTS In mid-term fetuses, the external and internal sphincters gradually increased in thickness, depending on specimen size (from 0.2 to 1.5 mm), whereas the anteroposterior diameter of the anal canal at the epithelial junction was relatively stable (0.5-1.0 mm) irrespective of specimen size. Anal canal diameter increased less than twofold between mid-term and late-stage fetuses, from 0.5-1.0 to almost 2 mm, whereas sphincter thickness increased over tenfold, from 0.2-1.5 to almost 3.5 mm. The anal sinus often showed balloon-like enlargement when the sphincter muscle bundles were tightly packed in mid-term, but not in late-stage fetuses. CONCLUSIONS Large concentric mechanical stress from the sphincters in late-stage fetuses apparently prevented the anal sinus from expanding in a balloon-like manner. Conversely, to avoid anal stenosis, the growing sinuses maintained a luminal space of the anal canal in response to stress from rapidly growing sphincters. The inferiorly extending sinus usually provided temporal double canals separated by a thick column. In the presence of double lumens, anal canal duplication is likely to develop without any abnormalities of the anal epithelium and sphincters.
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Affiliation(s)
| | - Si Eun Hwang
- Department of Surgery, Daejeon Sun Hospital, Daejeon, Republic of Korea
| | - Ji Hyun Kim
- Department of Anatomy, Chonbuk National University Medical School, Geonji-ro 20, Deokjin-gu, Jeonju, 561-712, Republic of Korea.
| | - Joerg Wilting
- Department of Anatomy, School of Medicine, Georg-August-Universität Gőtingen, Gőttingen, Germany
| | - José Francisco Rodríguez-Vázquez
- Department of Anatomy and Human Embryology, Institute of Embryology, Faculty of Medicine, Universidad Complutense, Madrid, Spain
| | - Gen Murakami
- Division of Internal Medicine, Iwamizawa Asuka Hospital, Iwamizawa, Japan
| | - Hong Pil Hwang
- Department of Surgery & Biomedical Research Institute, Chonbuk National University Hospital, Jeonju, Republic of Korea
| | - Baik Hwan Cho
- Department of Surgery & Biomedical Research Institute, Chonbuk National University Hospital, Jeonju, Republic of Korea
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14
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Cheng LS, Courtier J, MacKenzie TC. Anal duplication in a one-year-old girl. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2013; 1:373-374. [PMID: 25774340 DOI: 10.1016/j.epsc.2013.10.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
We report a case of a patient with anal duplication discovered incidentally at 1 year of age. Pre-operative evaluation excluded any complications or associated anomalies. She underwent surgical excision with an excellent outcome.
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Affiliation(s)
- Lily S Cheng
- University of California San Francisco, 500 Parnassus Ave., San Francisco, CA 94143, USA
| | - Jesse Courtier
- University of California San Francisco, 500 Parnassus Ave., San Francisco, CA 94143, USA
| | - Tippi C MacKenzie
- University of California San Francisco, 500 Parnassus Ave., San Francisco, CA 94143, USA
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15
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Van Biervliet S, Maris E, Vande Velde S, Vande Putte D, Meerschaut V, Herregods N, De Bruyne R, Van Winckel M, Van Renterghem K. Anal canal duplication in an 11-year-old-child. Case Rep Gastrointest Med 2013; 2013:503691. [PMID: 24151565 PMCID: PMC3787627 DOI: 10.1155/2013/503691] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2013] [Accepted: 08/13/2013] [Indexed: 11/18/2022] Open
Abstract
Anal canal duplication (ACD) is the least frequent digestive duplication. Symptoms are often absent but tend to increase with age. Recognition is, however, important as almost half of the patients with ACD have concomitant malformations. We present the clinical history of an eleven-year-old girl with ACD followed by a review of symptoms, diagnosis, treatment, and prognosis based on all the reported cases in English literature.
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Affiliation(s)
- S. Van Biervliet
- Departement of Pediatric Gastro-Enterology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium
| | - E. Maris
- Departement of Pediatric Gastro-Enterology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium
| | - S. Vande Velde
- Departement of Pediatric Gastro-Enterology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium
| | - D. Vande Putte
- Departement of Pediatric Surgery, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium
| | - V. Meerschaut
- Departement of Pediatric Radiology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium
| | - N. Herregods
- Departement of Pediatric Radiology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium
| | - R. De Bruyne
- Departement of Pediatric Gastro-Enterology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium
| | - M. Van Winckel
- Departement of Pediatric Gastro-Enterology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium
| | - K. Van Renterghem
- Departement of Pediatric Surgery, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium
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16
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Affiliation(s)
- S J Lippert
- Division of Pediatric Surgery, Department of Surgery, Women and Children's Hospital of Buffalo, State University of New York at Buffalo, Buffalo, NY 14222, USA
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