DUPLICATION OF THE RECTUM PRESENTING AS PERFORATED PEPTIC-ULCER

A 2.5-year-old patient who presented with abdominal pain, melena, feve r, and subileus underwent an exploratory laparotomy. Apart from adhesi ons, edema, and friable tissue in the right pararectal space together with some 15 ml black fluid coming from the right pararectal and extra peritoneal portions of the pelvis, no pathology was found. A few days later, the diagnosis of a rectal duplication was arrived at after ultr asound and CT scans of the pelvis together with rectoscopy and filling of a pararectal cavity by contrast material. The duplication was exci sed by the perineal approach; it was covered by gastric mucosa, with s igns of perforation at its superior pole.