Abstract
We reported a female patient with tubular duplication of entire colon confirmed by consecutive two operations. Immediately after birth, her parents noticed fecal discharge from her vestibular region as well as her anus. At the age of 2, she was admitted to our clinic for surgical repair. On physical examination, rectal duplication with vestibular and anal opening was suspected. Removal of recto-vestibular fistula was carried out and the rectum was denuded of mucosa. At the age of 13. she was re-admitted to our clinic because of intestinal obstruction. At laparotomy. a duplicated colon, from the cecum to the sigmoid, closely adjacent to antimesenteric border of the colon proper was found. A hemicolectomy together with septum cxcision of the proximal end of the tranverse colon was carried out. Incklcental appendectomy alos revealed a double-barreled appendix. Postoperative barium enema and colonofiberscopy confirmed the entire colon duplication. After the second operation, ulcerative colitis supervened, but this 18 years old girl is now enjoying her schoolife. This is an extremely rare case of tubular duplication of the appendix, entire colon, and rectum.
