Case Report
 
Complete urogenital and colonic duplication: An extremely rare developmental anomaly in an adult female
Aarti Deenadayal Tolani1, Deenadayal Mamta2, Kadambari3, Nori Vijay Bhasker4
1M.S, Infertility specialist and embryologist, Infertility Institute and Research Centre, Hyderabad, Telangana, India
2MD, DGO, Clinical director, Infertility Institute and Research Centre, Hyderabad, Telangana, India
3MD, DGO, FICOG, Obstetrician and Gynaecologist, Micro surgeon, Infertility Institute and Research Centre, Hyderabad, Telangana, India
4MD, Chief Radiologist, Vista imaging centre, Hyderabad, Telangana, India

Article ID: Z01201705CR10799AT
doi:10.5348/ijcri-201760-CR-10799

Address correspondence to:
Dr. Aarti Deenadayal Tolani
Infertility specialist and embryologist, Infertility Institute and Research Centre,
91-1-192, St Mary’s road
Opp. Prashanth theatre,Secunderabad
Telangana, India

Access full text article on other devices

  Access PDF of article on other devices

[HTML FULL TEXT]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]


How to cite this article
Tolani AD, Mamta D, Kadambari, Bhasker NV. Complete urogenital and colonic duplication: An extremely rare developmental anomaly in an adult female. Int J Case Rep Images 2017;8(5):344–347.


ABSTRACT
Introduction:Complete urogenital duplication is an extremely rare congenital syndrome, where the etiology is unambiguously not explained. Misexpression of certain genes and teratogenic factors are presumed to have a prominent effect on duplications and malformations at various stages during embryogenesis. Several cases have been reported on gastrointestinal and genitourinary duplication. However, no two cases described in literature are alike and they differ with the level of duplication and the associated anomalies. Interestingly, most of the cases reported are at infancy and adult caudal duplication syndrome (CDS) cases are exceptional. Herein, we report a case of a 36-year-old unmarried female with duplication of external genitalia associated with duplication of the genitourinary and colonic system. Imaging revealed associated skeletal and spinal anomalies. Patient did not have any reconstruction surgeries previously and consulted us regarding the possibility of intercourse and fertility. The extent of urogenital duplication and associated anomalies was delineated with help of X-ray, abdominal and trans-perennial ultrasound and magnetic resonance imaging (MRI).

Keywords: Caudal duplication syndrome (CDS), Developmental anomalies, Duplication of external genitalia, Genitourinary and colonic duplication




[HTML FULL TEXT]   [PDF Full Text]

Acknowledgements
We would like to acknowledge Suhasini Donthi for her assistance in draft preparation. We acknowledge the technicians at IIRC and Vista imaging technologies for their assistance

Author Contributions
Aarthi Deenadayal Tolani – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Dr. Mamta Deenadayal – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Kadambari – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Vijay Bhasker – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Aarthi Deenadayal Tolani et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.