Sigmoid colon duplication seen as a rare cause of ileus in adult: case report

Abstract

Intestinal duplications are congenital anomalies usually seen in infancy. Since it is congenital, they often become symptomatic in childhood. Usually diagnosed by adulthood. Those seen in childhood are mostly seen in the part from the oral cavity to the middle of the transverse colon, which is defined as the foregut and midgut embryologically. In our case report, we presented a female patient who was diagnosed both in adulthood and presented with ileus caused by duplication in the sigmoid colon. A 24-year-old female patient was admitted with the complaints of intermittent constipation and inability to pass gas and stool for 3 days. It was thought that the pathology observed in the sigmoid colon in the abdominal CT with contrast was due to torsion. Urgent surgery was decided for the patient. During the operation, it was observed that there was duplication in the sigmoid colon and torsion developed due to this. The patient underwent anterior resection and end-to-end anastomosis. She was discharged with surgical recovery in the postoperative period. Intestinal duplications are congenital anomalies that are usually seen in infancy. However, although rarely, it can be detected in adulthood, as in the patient we presented. Duplication anomalies should be kept in mind in the differential diagnosis of patients with chronic constipation and abdominal pain.