{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T22:43:17Z","timestamp":1791931397543,"version":"4.3.4"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,8,16]],"date-time":"2022-08-16T00:00:00Z","timestamp":1660608000000},"content-version":"vor","delay-in-days":227,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European J Pediatr Surg Rep."],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background Colonic duplication may present in different anatomic variants. The surgical approach towards these anomalies can be challenging and has implications for subsequent future continence.<\/jats:p><jats:p>\n          Case Description\u2003We report on a 1-year-old girl with congenital heart defect and pacemaker who was referred to us with an anorectal malformation. The patient was stooling from both an anus and a perineal fistula. Examination under anesthesia revealed an orthotopic and age-appropriate sized anus with surrounding sphincter and a second rectal lumen ending as a perineal fistula. A computed tomography and contrast enema indicated colonic duplication. Exploratory laparotomy showed a duplicated terminal ileum leading to two ceca and appendices, which joined to a duplicated colon with a septum and common mesentery. At the rectosigmoid junction, one part of the duplication ended as a perineal fistula, the second one led to the (orthotope) anus. The common colonic wall was divided using a stapler. The rectal duplication leading to the perineal fistula was not completely resected but treated by mucosectomy only (Soave plane) leaving its muscular cuff in place. Finally, an ileostomy was created. The postoperative course was uneventful. A contrast enema prior to ostomy takedown demonstrated a well-configurated colon and rectum without stenosis or impaction. The girl is currently continent with a complete resolution of her constipation.<\/jats:p><jats:p>\n          Conclusion\u2003In cases of complete colonic duplication division of the common wall is simple and safe. Mucosectomy of the ectopic rectum limits pelvic dissection and preserves the entire muscular wall of the duplicated orthotope rectum.<\/jats:p>","DOI":"10.1055\/s-0042-1750028","type":"journal-article","created":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T01:06:38Z","timestamp":1660698398000},"page":"e102-e106","source":"Crossref","is-referenced-by-count":4,"title":["Complete Colonic Duplication and Perineal Fistula: Transanal Mucosectomy of the Ectopic Rectum"],"prefix":"10.1055","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0041-1208","authenticated-orcid":false,"given":"Johannes W.","family":"Duess","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Zimmermann","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franz W.","family":"Hirsch","sequence":"additional","affiliation":[{"name":"Department of Pediatric Radiology, University of Leipzig, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Graefe","sequence":"additional","affiliation":[{"name":"Department of Pediatric Radiology, University of Leipzig, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Lacher","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan-Hendrik","family":"Gosemann","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,8,16]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"E11","DOI":"10.1016\/j.jpedsurg.2008.01.057","article-title":"Complete colonic duplication\u2013a case report","volume":"43","author":"J R Fuchs","year":"2008","journal-title":"J Pediatr Surg"},{"issue":"39","key":"ref2","doi-asserted-by":"crossref","first-page":"14263","DOI":"10.3748\/wjg.v20.i39.14263","article-title":"Alimentary tract duplications in newborns and children: diagnostic aspects and the role of laparoscopic treatment","volume":"20","author":"J Pati\u00f1o Mayer","year":"2014","journal-title":"World J Gastroenterol"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"146","DOI":"10.4103\/0971-9261.159031","article-title":"Colonic duplication: treatment by limited division of common wall","volume":"20","author":"D Bhadoo","year":"2015","journal-title":"J Indian Assoc Pediatr Surg"},{"issue":"02","key":"ref4","first-page":"436","article-title":"Complete colonic duplication in children","volume":"3","author":"A Khaleghnejad Tabari","year":"2012","journal-title":"Caspian J Intern Med"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1007\/s004230000170","article-title":"Experience with gastro-intestinal duplications in childhood","volume":"385","author":"J Schalamon","year":"2000","journal-title":"Langenbecks Arch Surg"},{"issue":"44","key":"ref6","doi-asserted-by":"crossref","first-page":"e17682","DOI":"10.1097\/MD.0000000000017682","article-title":"Clinical characteristics of gastrointestinal tract duplications in children: a single-institution series review","volume":"98","author":"L Xiang","year":"2019","journal-title":"Medicine (Baltimore)"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/00000658-198902000-00006","article-title":"Surgical management of alimentary tract duplications","volume":"209","author":"G W Holcomb III","year":"1989","journal-title":"Ann Surg"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"147","DOI":"10.4103\/jiaps.JIAPS_103_18","article-title":"Surgical surprise during posterior sagittal anorectoplasy: a rectal duplication","volume":"24","author":"K Khanna","year":"2019","journal-title":"J Indian Assoc Pediatr Surg"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"e31","DOI":"10.1016\/j.jpedsurg.2006.02.038","article-title":"Anorectal malformation with tubular hindgut duplication","volume":"41","author":"R J Craigie","year":"2006","journal-title":"J Pediatr Surg"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"e86","DOI":"10.1111\/ped.12086","article-title":"Rectal duplications accompanying rectovestibular fistula: report of two cases","volume":"55","author":"A Pampal","year":"2013","journal-title":"Pediatr Int"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1016\/j.jpedsurg.2009.12.025","article-title":"Rectosigmoid tubular duplication presenting as perineal sepsis in a neonate","volume":"45","author":"Z Zhang","year":"2010","journal-title":"J Pediatr Surg"},{"issue":"08","key":"ref12","doi-asserted-by":"crossref","first-page":"1572","DOI":"10.1016\/j.jpedsurg.2008.03.039","article-title":"Laparoscopic excision of a newborn rectal duplication cyst","volume":"43","author":"C W Hartin Jr","year":"2008","journal-title":"J Pediatr Surg"},{"issue":"06","key":"ref13","doi-asserted-by":"crossref","first-page":"e19","DOI":"10.1016\/j.jpedsurg.2012.01.082","article-title":"Perinatally discovered complete tubular colonic duplication associated with anal atresia","volume":"47","author":"M A Jellali","year":"2012","journal-title":"J Pediatr Surg"},{"issue":"01","key":"ref14","doi-asserted-by":"crossref","first-page":"e47","DOI":"10.1055\/s-0039-1692193","article-title":"Late diagnosis of complete colonic and rectal duplication in a girl with an anorectal malformation","volume":"7","author":"A A AbouZeid","year":"2019","journal-title":"European J Pediatr Surg Rep"},{"issue":"09","key":"ref15","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1016\/0022-3468(90)90242-2","article-title":"Rectal duplications","volume":"25","author":"M P La Quaglia","year":"1990","journal-title":"J Pediatr Surg"},{"issue":"02","key":"ref16","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/BF02390103","article-title":"Tubular colonic duplication\u2013review of 1876-1981 literature","volume":"13","author":"D K Yousefzadeh","year":"1983","journal-title":"Pediatr Radiol"},{"issue":"07","key":"ref17","doi-asserted-by":"crossref","first-page":"e17","DOI":"10.1016\/j.jpedsurg.2006.03.016","article-title":"Colonic triplication associated with anorectal malformation: case presentation of a rare embryological disorder","volume":"41","author":"H Gisquet","year":"2006","journal-title":"J Pediatr Surg"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1055\/s-0035-1570370","article-title":"Caudal duplication syndrome: the vital role of a multidisciplinary approach and staged correction","volume":"4","author":"I Samuk","year":"2016","journal-title":"European J Pediatr Surg Rep"},{"issue":"01","key":"ref19","doi-asserted-by":"crossref","first-page":"48","DOI":"10.4103\/0971-9261.145556","article-title":"Incidentally found rectal duplication during surgery for rectovestibular fistula and its management","volume":"20","author":"D K Balaji","year":"2015","journal-title":"J Indian Assoc Pediatr Surg"},{"issue":"03","key":"ref20","doi-asserted-by":"crossref","first-page":"197","DOI":"10.5223\/pghn.2015.18.3.197","article-title":"Tubular colonic duplication presenting as rectovestibular fistula","volume":"18","author":"P J Karkera","year":"2015","journal-title":"Pediatr Gastroenterol Hepatol Nutr"}],"container-title":["European Journal of Pediatric Surgery Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1750028.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T01:06:58Z","timestamp":1660698418000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1750028"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":20,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,1,15]]},"published-print":{"date-parts":[[2022,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1750028","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2194-7619","2194-7627"],"issn-type":[{"value":"2194-7619","type":"print"},{"value":"2194-7627","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}