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Journal of Case Reports
A Rare Presentation of Caudal Duplication Syndrome in an Adult with No Functional Impairment

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Mayuresh M. Deshpande, Pradeep Goil, Anjan Bannerjee
From the Department of Plastic Surgery & Burns, Sawai Man Singh Medical College, Jaipur, Rajasthan, India.
Corresponding Author:
Dr. Mayuresh M. Deshpande                                
Email: mayureshdeshpande14@gmail.com
Received: 06-JUL-2014 Accepted: 08-AUG-2014 Published Online: 30-AUG-2014
DOI: http://dx.doi.org/10.17659/01.2014.0081
Abstract
Caudal duplication syndrome is a rare congenital association between malformations and duplications of the gastrointestinal and genitourinary systems and neural tube defects. Less than 100 cases have been reported in literature worldwide, majority being diagnosed at birth. To date only 2 patients have been reported to have presented in adulthood. We hereby report a case of caudal duplication with complete duplication of urethra, bladder, vagina, uterus, entire hindgut and midgut but with no functional abnormalities. Her only complaint being narrow double vaginal vaults with anticipated difficulty in sexual function. As normal pregnancy has been reported in uterus didelphys, a simple vaginal septal resection and posterior vaginal wall lengthening with incorporation of a ‘Z-plasty’ was done along with vulvaplasty to exclude the abnormal anal opening from the fourchette.
Keywords : Neural Tube Defects, Urogenital Abnormalities, Uterus, Urethra, Pregnancy, Humans.
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