Rectal duplication as an unusual cause of chronic perianal fistula in an adult: Report of a case

Altinli E., Balkan T., URAS C., Dogusoy G., Akcal T., Balcisoy U.

Surgery Today, vol.34, no.9, pp.796-798, 2004 (SCI-Expanded, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 34 Issue: 9
  • Publication Date: 2004
  • Doi Number: 10.1007/s00595-004-2802-9
  • Journal Name: Surgery Today
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.796-798
  • Keywords: Perianal fistula, Rectal duplication, Rectum intestinal duplication
  • Acibadem Mehmet Ali Aydinlar University Affiliated: Yes

Abstract

Duplication of the rectum is a rare embryologic event, but it should be considered as a possibility when perianal fistulas and abscesses remain resistant to conventional standard surgical treatment modalities over the long term. We report the case of a 57-year-old woman who underwent many operations over 30 years for persistent perianal fistulas. After radiological assay by computed tomography, fistulography, and barium enema studies, we performed surgery to remove a cystic mass in the retrorectal region, which was subsequently found to be a rectal duplication. The patient had an uneventful postoperative course and has been asymptomatic for 3 years.