Anal Canal Duplication in an Adult Female—Case Report and Pathology Guiding

Anal canal duplication (ACD) is a very rare condition, diagnosed and treated mostly in childhood. Less than 90 cases have been reported in the literature so far. We are presenting a case of a young woman who underwent surgical excision of the duplication when she was 27 years old. The patient was un...

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Autores principales:	Tudor Mateescu, Cristi Tarta, Paul Stanciu, Alis Dema, Fulger Lazar
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	anal canal duplication adult anal duplication ano-rectal malformations Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/64f3e40542e54caca1cce43c187e8fa4
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spelling	oai:doaj.org-article:64f3e40542e54caca1cce43c187e8fa42021-11-25T18:18:33ZAnal Canal Duplication in an Adult Female—Case Report and Pathology Guiding10.3390/medicina571112051648-91441010-660Xhttps://doaj.org/article/64f3e40542e54caca1cce43c187e8fa42021-11-01T00:00:00Zhttps://www.mdpi.com/1648-9144/57/11/1205https://doaj.org/toc/1010-660Xhttps://doaj.org/toc/1648-9144Anal canal duplication (ACD) is a very rare condition, diagnosed and treated mostly in childhood. Less than 90 cases have been reported in the literature so far. We are presenting a case of a young woman who underwent surgical excision of the duplication when she was 27 years old. The patient was unaware of her condition and was referred from a gynaecological office to the surgical department with a history of perianal discomfort and mucus discharge. Local examination showed an external orifice posterior to the anal opening, on the median line, which had the macroscopic appearance of a secondary anal orifice. The opening was about 0.5 cm in diameter. Exploration of the tract revealed a length of about 4 cm. MRI described the aforementioned tract, parallel to the anal canal, with no other anomalies mentioned. Under spinal anesthesia, with the patient in jackknife position, the accessory anal canal was surgically excised. The pathology report showed the presence of smooth muscle fibers and typical anal glands in the specimen. After a five-year follow-up, the patient showed no recurrence or any other related local symptoms. Absence of perianal abscess from the patient history, along with the macroscopic aspect of the opening similar to a secondary anal orifice on the midline, should raise the suspicion of ACD. Due to the lack of bothersome symptomatology, the patient did not seek any special investigations for her condition until she was in her late twenties. ACD is a very rare condition in adults that might pass unnoticed, but a midline opening posterior to the anus should always raise the suspicion of a secondary anal canal. Surgery is the only cure for this condition with good results after a proper pre-operative workout to reveal others simultaneous malformations.Tudor MateescuCristi TartaPaul StanciuAlis DemaFulger LazarMDPI AGarticleanal canal duplicationadult anal duplicationano-rectal malformationsMedicine (General)R5-920ENMedicina, Vol 57, Iss 1205, p 1205 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	anal canal duplication adult anal duplication ano-rectal malformations Medicine (General) R5-920
spellingShingle	anal canal duplication adult anal duplication ano-rectal malformations Medicine (General) R5-920 Tudor Mateescu Cristi Tarta Paul Stanciu Alis Dema Fulger Lazar Anal Canal Duplication in an Adult Female—Case Report and Pathology Guiding
description	Anal canal duplication (ACD) is a very rare condition, diagnosed and treated mostly in childhood. Less than 90 cases have been reported in the literature so far. We are presenting a case of a young woman who underwent surgical excision of the duplication when she was 27 years old. The patient was unaware of her condition and was referred from a gynaecological office to the surgical department with a history of perianal discomfort and mucus discharge. Local examination showed an external orifice posterior to the anal opening, on the median line, which had the macroscopic appearance of a secondary anal orifice. The opening was about 0.5 cm in diameter. Exploration of the tract revealed a length of about 4 cm. MRI described the aforementioned tract, parallel to the anal canal, with no other anomalies mentioned. Under spinal anesthesia, with the patient in jackknife position, the accessory anal canal was surgically excised. The pathology report showed the presence of smooth muscle fibers and typical anal glands in the specimen. After a five-year follow-up, the patient showed no recurrence or any other related local symptoms. Absence of perianal abscess from the patient history, along with the macroscopic aspect of the opening similar to a secondary anal orifice on the midline, should raise the suspicion of ACD. Due to the lack of bothersome symptomatology, the patient did not seek any special investigations for her condition until she was in her late twenties. ACD is a very rare condition in adults that might pass unnoticed, but a midline opening posterior to the anus should always raise the suspicion of a secondary anal canal. Surgery is the only cure for this condition with good results after a proper pre-operative workout to reveal others simultaneous malformations.
format	article
author	Tudor Mateescu Cristi Tarta Paul Stanciu Alis Dema Fulger Lazar
author_facet	Tudor Mateescu Cristi Tarta Paul Stanciu Alis Dema Fulger Lazar
author_sort	Tudor Mateescu
title	Anal Canal Duplication in an Adult Female—Case Report and Pathology Guiding
title_short	Anal Canal Duplication in an Adult Female—Case Report and Pathology Guiding
title_full	Anal Canal Duplication in an Adult Female—Case Report and Pathology Guiding
title_fullStr	Anal Canal Duplication in an Adult Female—Case Report and Pathology Guiding
title_full_unstemmed	Anal Canal Duplication in an Adult Female—Case Report and Pathology Guiding
title_sort	anal canal duplication in an adult female—case report and pathology guiding
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/64f3e40542e54caca1cce43c187e8fa4
work_keys_str_mv	AT tudormateescu analcanalduplicationinanadultfemalecasereportandpathologyguiding AT cristitarta analcanalduplicationinanadultfemalecasereportandpathologyguiding AT paulstanciu analcanalduplicationinanadultfemalecasereportandpathologyguiding AT alisdema analcanalduplicationinanadultfemalecasereportandpathologyguiding AT fulgerlazar analcanalduplicationinanadultfemalecasereportandpathologyguiding
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Anal Canal Duplication in an Adult Female—Case Report and Pathology Guiding

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