Complete tubular duplication of colon presenting as rectovestibular fistula: A case report

Background: Duplication of the gastrointestinal tract is a rare congenital disorder in pediatric patients. Complete resection case total tubular duplication that requires or subtotal colectomy undesirable children.Case Presentation: This presented simple surgical technique for treating complete colonic without resection. A 2 months old female baby with abdominal distention and stool complaint came out from her vaginal vestibular normal anus. digital rectal exam showed palpable mass posterior region. Abdominal CT Scan rounded size 2x2 cm left posterolateral rectum The initial diagnosis was suspected sacrococcygeal tumor type 4 rectovestibular fistula. Intraoperative findings caecum, appendix, colon (ascending to sigmoid) (one directed vagina other anus). ileostomy done 20 ileocaecal junction as temporary treatment relieving definitive repair planned following months. second stage performed after 1-year-old posterosagital anorectoplasty followed by distal separation duplicated using 12 linear stapler. For this case, third one year previous surgery close remaining ileostomy. patient’s outcome good results defecating function no complication.Conclusion: specific clinical symptoms, but assessment can be assisted radiology such barium enema. We hope article could illustrate management presenting fistula, thus reflect how important judgment diagnostic our health care system.