Newborn with complete double penis and two separate scrotums: A case report. (2020)

• Record Type: Journal Article
• Authors: Maher, Ahmed; Abdelazeem Sabra, Tarek; Ibrahim, Hussein; Mostafa, Mahmoud
• Is Part Of: International journal of surgery case reports. Volume 77(2020)
• Page Start: 490
• Page End: 497
• Publication Date: 2020
• Subjects: Double penis -- Caudal duplication -- Double colon; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2020.11.002
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: CDS is a very rare congenital anomaly that includes duplication of distal body organs. Our case has a complete double penis with two separate scrotums. Colostomy with 4 stomas was done for duplicated colon. Abstract: Introduction: We present a newborn with double penis and double scrotum as a part of a caudal duplication syndrome (CDS) which is a condition includes duplication of the distal organs of the body. It is crucial to have knowledge about it to be able to be identified. Presentation: A male newborn presented with double penis, double scrotum double urethra, double colon, and double imperforate anus. After work up a low descending colostomy was done (4 stomas of duplicated colon) and started feeding with normal passage from colostomy. Discussion: The cause of CDS is unknown many theories have tried to explain that, but the most accepted theory is failure of monchorial twins to separate completely. CDS may be associated with other congenital anomalies as imperforate anus, renal anomalies, and omphalocele. Conclusion: CDS is a very rare condition which needs multidisciplinary team to manage and needs staged repair. Most pediatricians and pediatric surgeons are unable to diagnose it, we add a case of CDS to the literature.