Rectal duplication with sciatic hernia

Marzena Nosek; Anna Golonka; Anita Kalińska-Lipert; Paweł Nachulewicz

doi:10.5114/wiitm.2015.52708

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abstract:

Case report

Rectal duplication with sciatic hernia

Marzena Nosek

,

Anna Golonka

,

Anita Kalińska-Lipert

,

Paweł Nachulewicz

Videosurgery Miniinv 2015; 10 (2): 282–285

DOI: https://doi.org/10.5114/wiitm.2015.52708

Online publish date: 2015/07/07

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Rectal duplications represent 5% of all duplications in the alimentary tract [1, 2] and they are very rarely recognized during the neonatal period. Sciatic hernia is considered to be the rarest hernia of the pelvic floor, with a limited number of published reports worldwide, mostly in adult patients. A comprehensive review of the literature by Losanoff et al. located only 78 articles describing 99 patients suffering from sciatic hernia. That group included only 12 pediatric patients [3]. The incidence of sciatic hernia coexisting with rectal duplication is an extremely rare anomaly.

The authors describe the technique and results of surgical treatment in a child with a congenital tumor located on the right buttock, which turned out to be a rectal duplication forming a right-hand sciatic hernia. A hernia with rectal duplication may be life threatening because of intestinal obstruction or intestinal perforation, so it presents a fair therapeutic and surgical challenge. Moreover, the anatomy of the sciatic area is very complex, and the outcome of the operation may affect the function of anal sphincters, sexual functions and reproduction in the future. Therefore preparation for the final operation requires specific radiological evaluation and use of the least invasive surgical methods.

keywords:

Rectal duplication with sciatic hernia

Marzena Nosek , Anna Golonka , Anita Kalińska-Lipert , Paweł Nachulewicz

rectal duplication, transanal endorectal pull-through, sciatic hernia

Marzena Nosek

,

Anna Golonka

,

Anita Kalińska-Lipert

,

Paweł Nachulewicz