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Introduction: Colonic duplication is an uncommon congenital anomaly. Bowel obstruction, presence of an abdominal mass, and sometimes bleeding and perforation may be the clinical manifestations., Objective: To report a patient with colonic duplication who underwent to surgical treatment due to acute abdominal pain., Report of the Case: 17 year-old, female patient admitted to the emergency room due to acute abdominal pain and signs of intestinal obstruction, at her initial evaluation she was tachycardic, hyperthermic with 38 degrees C, dehydration, abdominal distention, acute abdominal pain, absent peristalsis and peritoneal signs. Laboratories with Hb 14.2 g/dL, leucocytosis of 16,000 mm3, plain abdominal films showed dilation of intestinal loops and air-fluid levels. A laparotomy for intestinal obstruction was performed; operative findings were a tubular colonic duplication that demands a complete resection of the duplicated segment., Conclusion: Colonic duplication is a rare congenital anomaly, the onset of the symptoms can occur during infancy or early childhood. It must be consider as differential diagnoses in patients with intestinal obstruction and palpable abdominal mass in this rank of ages.

Background: Treatment of ulcerative colitis depends on clinical stage of disease and have precise surgical indications. The aim of this work was to review surgical indications and present data related to our experience., Material and Methods: Retrospective, descriptive, and transversal study. We reviewed records of all patients who underwent a surgical procedure for ulcerative colitis at our service from March 1996 to March 2001., Results: Twenty two patients, 13 males and nine females, ages range 21 to 72 years. Main indication for surgery was no response to medical treatment (50%). Surgical procedures was subtotal colectomy with ileostomy in one patient, intersphincteric proctocolectomy with ileostomy in four intersphincteric proctectomy with ileostomy in three ileorectalanastomosis in three proctocolectomy with ileoanal "J" pouch in six and proctectomy with ileoanal J pouch in five. We had the following complications: oral candidiasis; phlebitis; eventration; pouchitis, and anal fissure in one patient, respectively, pouch-skin fistula in two patients (9%), and retrograde ejaculation in one of these. Follow-up was for 5 years., Conclusions: Surgical indications for ulcerative colitis are precise. We recommend early surgical evaluation. Ileoanal pouch is now considered the gold standard for surgical procedure because it eliminates disease, neoplasm development, and permanent extra-colonic manifestations, and restores continence.