Rapid Communication| Volume 41, ISSUE 6, e31-e34, June 2006

Anorectal malformation with tubular hindgut duplication


      The association of hindgut duplication and anorectal malformation is rare. Published classifications of this association are confusing in respect of terminology. We report a case of blind-ending, Y-shaped tubular duplication of the distal hindgut, associated with an anorectal malformation (rectourethral fistula) affecting the colon proper. Surgical options at time of presentation and of reconstructive surgery are discussed. A review and suggested modification of the classifications is presented.

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        • Kokoska E.R.
        • Steinhardt G.F.
        • Tomita S.S.
        • et al.
        Prostatorectal anomalies are associated with colorectal duplications.
        J Pediatr Surg. 1999; 34: 1545-1548
        • Quinn F.
        • Puri P.
        Duplication of alimentary tract.
        in: Puri P. Newborn Surgery. Butterworth-Heineman, Oxford, England1996: 334-341
        • Bedford A.F.
        An unusual alimentary duplication.
        Br J Clin Pract. 1977; 31: 76-78
        • Yousefzadeh D.K.
        • Bickers G.H.
        • Jackson Jr, J.H.
        • et al.
        Tubular colonic duplications—review of 1876-1981 literature.
        Paed Radiol. 1983; 13: 65-71
        • Dominguez R.
        • Rott J.
        • Castillo M.
        • et al.
        Caudal duplication syndrome.
        Am J Dis Child. 1993; 147: 1048-1052
        • Siebert J.R.
        • Rutledge J.C.
        • Kapur R.P.
        Association of cloacal anomalies, caudal duplication and twinning.
        Pediatr Dev Pathol. 2005; 8: 339-354
        • Pimpalwar A.
        • Chowdhary S.K.
        • Rao K.L.N.
        Duplication of pouch colon associated with duplication of the lower genitourinary tract.
        J Pediatr Surg. 2003; 38: E1
        • Smith E.D.
        Duplication of the anus and genitourinary tract.
        Surgery. 1969; 66: 909-921
        • Stringer M.D.
        • Spitz L.
        • Abel E.
        • et al.
        Management of alimentary tract duplication in children.
        Br J Surg. 1995; 82: 74-78