Abstract
Multiple duplication of the alimentary tarct is a rarecondition. This is a report of an 11-month-old boy with the multiple duplication of the colon with a perineal cutaneous fistula and multiple complicated anomalies. The patient was admitted to Kyushu University Hospital with a high fever and abdominal distension. A tubular duplication of the colon was noted preoperatively by fistulography. Two cystic duplications were also found in the transverse colon upon laparotomy. Only 20 cases with multiple duplication have been reported in Japan. Almost all of the cases developed as the duplications with the same form. The combination of different forms (cystic and tubular) as seen in this case has been previously reported in only 4 cases. There have only been 2 cases with the duplication of the alimentary tract with a cutaneous fistula. It is thought that duplication of the alimentary tract should be dissected because it can cause intestinal obstruction, hemorrhage, or malignancy.
