EURORAD ESR

Case 10308

A 38-year-old woman with tubular-saccular rectal duplication

Author(s)
Yun Feng Zhou , Yu Zhao, Qiang Zhang, Qing Zhu Li, Zheng Rong Zhang, Jia Ding Mao

Yijishan Hospital of Wannan Medical College
Radiologic department
2# Zheshan West Road
Wuhu, China 241001
Email:zhouyunfeng808@yahoo.cn
 
Patient
female, 38 year(s)
 
 
  • Figure 1
    Erect abdominal plain radiograph

    The erect abdominal plain radiograph showed a huge (15×12cm) expansion of an intestine-like structure located in the right abdomen and some high-intensity presented a plane in the lower cavity.

     
    Area of Interest: Abdomen; Gastrointestinal tract; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 2
    Colonographic mucous membrane phase

    The colonographic mucous membrane phase displayed a tubular structure (arrows) connecting with the cavity.

     
    Area of Interest: Abdomen; Gastrointestinal tract; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 3
    Colonographic filling phase

    The colonographic filling phase displayed a tubular structure (arrows) connecting with the cavity, but the contrast medium could not flow into the cavity.

     
    Area of Interest: Abdomen; Gastrointestinal tract; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 4
    Axial CT image

    An axial CT showed a huge expansion of an intestine-like structure with some stool and air in the right abdomen.

     
    Area of Interest: Abdomen; Gastrointestinal tract; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 5
    Coronal reformatted CT image

    A coronal reformatted CT image showed that a tubular intestine originated from the rectal posterior wall and presented a cyst at the end, with some faeces and air inside.

     
    Area of Interest: Abdomen; Gastrointestinal tract; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 6
    Sagittal reformatted CT image

    A sagittal reformatted CT image showed that a tubular intestine originated from rectal posterior wall and presented a cyst at the end, with some faeces and air inside

     
    Area of Interest: Abdomen; Gastrointestinal tract; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 7
    Surgical specimen

    During the operation, the findings were in accordance with the CT images. Because the gas was released after resection, the surgical specimen was an intestine with 6 cm and diameter of 1.5-2.0 cm.

     
    Area of Interest: Abdomen; Gastrointestinal tract; Imaging Technique: CT; Digital radiography; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 8
    pathological image

    This pathological image shows intestinal mucosa and some inflammatory cell infiltration, therefore the lesion was confirmed as intestinal duplication.

     
    Area of Interest: Abdomen; Gastrointestinal tract; Imaging Technique: Digital radiography; Procedure: Biopsy; Special Focus: Congenital;
     
     
  • Figure 9
    pathological image

    The pathological image shows the blood vessels and their surrounding submucosa

     
    Area of Interest: Abdomen; Gastrointestinal tract; Imaging Technique: CT; Digital radiography; Procedure: Biopsy; Special Focus: Congenital;
     
     
The erect abdominal plain radiograph showed a huge (15×12cm) expansion of an intestine-like structure located in the right abdomen and some high-intensity presented a plane in the lower cavity.
 
The colonographic mucous membrane phase displayed a tubular structure (arrows) connecting with the cavity.
 
The colonographic filling phase displayed a tubular structure (arrows) connecting with the cavity, but the contrast medium could not flow into the cavity.
 
An axial CT showed a huge expansion of an intestine-like structure with some stool and air in the right abdomen.
 
A coronal reformatted CT image showed that a tubular intestine originated from the rectal posterior wall and presented a cyst at the end, with some faeces and air inside.
 
A sagittal reformatted CT image showed that a tubular intestine originated from rectal posterior wall and presented a cyst at the end, with some faeces and air inside
 
During the operation, the findings were in accordance with the CT images. Because the gas was released after resection, the surgical specimen was an intestine with 6 cm and diameter of 1.5-2.0 cm.
 
This pathological image shows intestinal mucosa and some inflammatory cell infiltration, therefore the lesion was confirmed as intestinal duplication.
 
The pathological image shows the blood vessels and their surrounding submucosa
 
 
 
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