Abstract
A case of long tubular colonic duplication with imperforate anus is presented. A baby girl was found to have ano-vestibular fistula and ano-cutaneous fistula with hemivertebrae and rib anomaly. She had no genitourinary anomalies. Ba-enema showed a long tubular colonic duplication beginning from hepatic flexure opened to the anus. Posterior sagittal anorectoplasty (PSARP) was performed. The septum of duplicated rectum was divided using GIA and the ano-vestibular fistula was resected. And anorectoplasty was done using ano-cutaneous fistula. No farther procedure was performed to the duplicated colon. One year after the operation, she remains without any complications. Tubular colonic duplication is a rare congenital anomaly in early childhood. Many operative techniques have been reported such as complete resection of duplicated colon with or without neighboring colon, complete or partial division of the septum. However, we believe that a simple technique such as PSARP is enough for the long colonic duplication without obstruction.
