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Anal canal duplication and triplication: a rare entity with different presentations

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Abstract

Anal canal duplication (ACD) is the rarest of gastrointestinal duplications. Few cases have been reported. Most cases present as an opening in the midline, posterior to the normal anus. The aim of our revision is to contribute with eight new cases, some of them with unusual presentations: five presented as the typical form, one with a perianal nodule, and two presented as two separate orifices (anal canal triplication). Complete excision was performed in all patients with no complications. ACD is the most distal and the least frequent digestive duplication. Its treatment should be surgical excision, to avoid complications such as abscess, fistulization, or malignization. Anal canal triplication has never been described before.

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References

  1. Carpentier H, Maizlin I, Bliss D (2009) Anal canal duplication; case reviews and summary of the world literature. Pediatr Surg Int 25:911–916

    Article  PubMed  Google Scholar 

  2. Mirzaei R, Mahjubi B, Alvandipoor M, Karami M. (2015) Late presentation of anal canal duplication in adults: a series of four rare cases. Ann Coloproctol 31:34–36

    Article  PubMed  PubMed Central  Google Scholar 

  3. Ochiai K, Umeda T, Murahashi O, Sugitoh T (2002) Anal-canal duplication in a 6-year-old child. Pediatr Surg Int 18:195–197

    Article  CAS  PubMed  Google Scholar 

  4. Kratz J, Deshpande V, Ryan D, Goldstein A (2008) Anal canal duplication associated with presacral cyst. J Pediatr Surg 43:1749–1752

    Article  PubMed  Google Scholar 

  5. Tiryaki T, Senel E, Atayurt H (2006) Anal canal duplication in children: a new technique. Pediatr Surg Int 22:560–561

    Article  PubMed  Google Scholar 

  6. Choi S, Park W (2002) Anal canal duplication in infants. J Pediatr Surg 38:758–762

    Article  Google Scholar 

  7. Lisi G, Illiceto M, Rossi C, Broto JM, Gil-Vernet JM, Lelli Chiesa P (2002) Anal canal duplication: a retrospective analysis of 12 cases from two European pediatric surgical departments. Pediatr Surg Int 22:967–973

    Article  Google Scholar 

  8. Ponson AE, Festern C (2001) Postanal sinus: single or different etiologies? Pediatr Surg Int 17:45–47

    Article  CAS  PubMed  Google Scholar 

  9. Jacquier C, Dobremez E, Piolat C, Dyon J-F, Nugues F (2001) Anal canal duplication in infants and children. Eur J Pediatr Surg 11(3):186–191

    Article  CAS  PubMed  Google Scholar 

  10. Hamada Y, Sato M, Hiaki K (1996) Anal canal duplication in childhood. Pediatr Surg Int 11:577–579

    Article  CAS  PubMed  Google Scholar 

  11. Ishikawa M, Watarai Y, Kabasawa Y (1994) A case of anal canal duplication. J Jpn Soc Pediatr Surg 30:1343–1347

    Google Scholar 

  12. Adachi Y, Akiyama H, Takamatsu H (1991) A case of anal duplication. J Jpn Soc Pediatr Surg 27:1241

    Google Scholar 

  13. Arai T, Miyano T, Tanno M (1990) Tubular anal duplication: experiences with two cases. Z Kinderchir 45:311–313

    CAS  PubMed  Google Scholar 

  14. Yatsuzuka S, Okamatsu T, Ishikawa M (1986) A case with Currarino’s triad. Jpn J Pediatr Surg 18:1627–1638

    Google Scholar 

  15. Ogawa T, Hasegama S, Hirai Y (1984) A neonatal case of anal canal duplication associated with congenital anal stenosis. Jpn. J Pediatr Surg 16:237–241

    Google Scholar 

  16. Hata Y, Saton K (1978) Duplication of the rectum and/or anal canal. Jpn J Pediatr Surg 14:105–109

    Google Scholar 

  17. Tagart R (1977) Congenital anal duplication: a cause of para-anal sinus. Br J Surg 64:525–528

    Article  CAS  PubMed  Google Scholar 

  18. Aaronson I (1970) Anterior sacral meningocele, anal canal duplication cyst and covered anus occurring in one family. J Pediatr Surg 5(5):559–563

    Article  CAS  PubMed  Google Scholar 

  19. Abrami G, Dennison W (1961) Duplication of the stomach. Surgery 49:794–801

    CAS  PubMed  Google Scholar 

  20. Hartin C, Lau S, Escobar M, Glick P (2008) Laparoscopic excision of a newborn rectal duplication cyst. J Pediatr Surg 43:1572–1574

    Article  PubMed  Google Scholar 

  21. Pampal A, Ozbayoglu A, Kaya C, Pehlivan Y, Poyraz A, Ozen O, Percin F, Demirogullari B (2013) Rectal duplications accompanying rectovestibular fistula: report of two cases. Pediatr Int 55:e86–e89

    Article  PubMed  Google Scholar 

  22. Gupta D, Sharma S (2006) Rectal duplication and anal canal duplication. In: Holschneider, Hutson, Schröder (eds) Anorectal malformations in children, 1st edition. Springer, Berlin, pp 231–238

    Google Scholar 

  23. Dukes CE, Galvin C (1956) Colloid carcinoma arising within fistulae in the anorectal region. Ann R Coll Surg Engl 18:246–261

    CAS  PubMed  PubMed Central  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Pediatric Surgery, Hospital Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain

    P. Palazon, V. Julia, L. Saura, I. de Haro, M. Bejarano & X. Tarrado

  2. Department of Pathology, Hospital Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain

    C. Rovira

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  1. P. Palazon
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  2. V. Julia
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  3. L. Saura
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  4. I. de Haro
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  5. M. Bejarano
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  6. C. Rovira
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  7. X. Tarrado
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Correspondence to P. Palazon.

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Palazon, P., Julia, V., Saura, L. et al. Anal canal duplication and triplication: a rare entity with different presentations. Pediatr Surg Int 33, 609–617 (2017). https://doi.org/10.1007/s00383-017-4074-7

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  • DOI: https://doi.org/10.1007/s00383-017-4074-7

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