Cases Journal


Open Access Case Report

Abscess formation of a spherical-shape duplication in the splenic flexure of the colon: case report and review of the literature

Christos Limas*, Chrisostomos Soultanidis, Michail A Kirmanidis, Christina Tsigalou and Olga Tsirogianni

Author Affiliations

Paediatric Surgery Department, University General Hospital of Alexandroupolis, Dragana, 68100 Alexandroupolis, Greece

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Cases Journal 2009, 2:158 doi:10.1186/1757-1626-2-158

Published: 20 October 2009

Abstract

Gastrointestinal tract duplications are rare congenital malformations that may occur anywhere in the alimentary tract from the mouth to the anus, and vary greatly in presentation, size, location, and especially in symptoms. We present a case of an infected spherical colonic duplication, in a 20-day-old baby, located at the splenic flexure of the colon. The prominent symptom was acute abdomen, accompanied by bilious vomiting, intestinal obstruction, and high fever. We present this case, due to atypical clinical presentation and the inability of the imaging modality to establish the diagnosis preoperatively.