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2006, Number 3

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Rev Mex Cir Pediatr 2006; 13 (3)

Caudal duplication syndrome Case report

Licona-Islas C, Cornejo-Manzano A, Juárez-Sánchez F, Trejo-Hernández A
Full text How to cite this article

Language: Spanish
References: 6
Page: 143-147
PDF size: 540.86 Kb.


Key words:

Caudal duplication síndrome, Duplication colon, rectum, urethra, penis end anus, Spina bifida oculta, Lipomeningocele.

ABSTRACT

Introduction: Caudal duplication syndrome is a rare entity in the literature with reports of sporadic cases with incomplete duplication, being even rarer cases of complete duplication. The most accepted theory explains the origin as a duplication of structures derived from the cloaca and notochord at different extensions, as well as a flaw in the division of monozygotic twins.
Case report: Male child of a mother with gestational diabetes hypothyroid, was obtained by detecting the birth defect eutocic sacred double penis and double anal canal, evacuation presents both holes and urine from both ureters, imaging studies and completing an exploratory laparoscopy was corroborated colorecto complete duplication, with two independent bladders each with a ureter, two ureters and double with two sacral spinal canal and a lipomeningocele as evidenced by MRI.
Discussion: The most accepted theory that explains the duplication of organs derived from the notochord, but are not associated with concomitant breast pathology. For surgical reconstruction, thorough examination is needed to determine which holes are the most functional and each case will require an alternative.


REFERENCES

  1. Bajpai M, Das K, Gupta AK. Caudal duplication syndrome: more evidence for theory of caudal twinning. J Pediatr Surg 2004; 39 (2): 223-225.

  2. Kroes HY, Takahashi M, Zijlstra RJ, et al. Two cases of the caudal duplication anomaly including a discordant monozygotic twin. Clinical report. Am J Med Genet 2002; 112: 390-393.

  3. Choo KL, Mark SD, Frank JD. Urodinamic evaluation of an infant with complete bladder and colonic duplication, sacral dysgenesis, and imperforate anus. Case report. Br J Surg 1996; 77: 749-750.

  4. Domínguez R, Rott J, Castillo M, et al. Caudal duplication syndrome. Am J Dis Child 1993; 147:1048-1052.

  5. Azmy AF. Complete duplication of the hindgut and lower urinary tract with diphallus. J Pediatr Surg 1990; 25(6): 647-649

  6. Dunetz GN, Bauer SB. Complete duplication of bladder and urethra. Urology 1985; 25(2): 179-182




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Rev Mex Cir Pediatr. 2006;13