Abstract

SILVA, Nádia; GOMES, Diogo Carrola; MATOS, Ricardo  and  PAIXAO, Isabel. Intestinal Duplication: A Rare Cause of Occlusion in Adults. Gaz Med [online]. 2020, vol.7, n.4, pp.377-380.  Epub July 22, 2021. ISSN 2183-8135.  https://doi.org/10.29315/gm.v7i4.319.

Duplication of the digestive tract is a rare condition, usually diagnosed at a young age. Late diagnosis can be associated with complications such as bowel obstruction, hemorrhage, or perforation. We present the case of a 60-year-old patient admitted to the emergency department due to abdominal pain and constipation. In the computed tomography scan, she presented a large fecaloma of the sigmoid colon causing large bowel obstruction. Intraoperatively there was an incomplete duplication of the left colon, which ended in a cul-de-sac at the mid-rectum. This duplication led to the formation of a large fecaloma in the duplicated colon that compressed and obstructed the functioning lumen. Hartmann’s operation with a double barrel colostomy was performed. The postoperative period was uneventful; bowel continuity was restored 6 months later.

Keywords : Digestive System Abnormalities; Intestinal Obstruction.

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