Caudal duplication syndrome is an exceedingly rare condition that manifests as duplicative anomalies of the gastrointestinal and genitourinary systems. We present a case of an adult patient born with multiple congenital anomalies including duplicated reproductive and urinary systems. She presented to our center for initial evaluation 11 years ago largely experiencing right-sided pelvic organ prolapse and bilateral urinary tract voiding dysfunction. She underwent successful surgical management and presented several years later for recurrent symptoms. We describe her presentation and our surgical experience, including complications and outcomes, for this case. We also review caudal duplication syndrome—its etiology, clinical presentation, diagnostic workup, surgical intervention (if any), and recommendations.
We present a case of female caudal duplication syndrome which presents with anatomic and functional challenges that greatly affect quality of life and should be managed with anatomic considerations and a thorough diagnostic work-up on an individual basis by experienced physicians and surgeons.
From the *Department of OB/GYN,
†Female Pelvic Medicine and Reconstructive Surgery, Department of OB/GYN, and
‡Pelvic Medicine and Reconstructive Surgery, Department of Urology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA.
Correspondence: My-Linh Nguyen, MD, Female Pelvic Medicine and Reconstructive Surgery, Department of OB/GYN, David Geffen School of Medicine, University of California Los Angeles, 200 Medical Plaza, Suite 140, Los Angeles, CA 90095. E-mail: Mylinhnguyen@mednet.ucla.edu.
There were no study sponsors.
The authors have declared that have no conflicts of interest.
Ethical approval: Approval is not required. There were no violations of the ethical policy of this journal.