08 February 2025
: Case report 
Optimizing Surgical Techniques for Anal Canal Duplications in 2 Pediatric Patients
Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Rare disease, Clinical situation which can not be reproduced for ethical reasons
Ana Sofia Soto Torselli BCDEF 1,2, Miriam Duci ABCDE 1,2, Maurizia Grazzini D 1,3, Costanza Tognon D 1,3, Pedro Araujo Rossati Sanches D 1,2, Piergiorgio Gamba AD 1,2, Francesco Fascetti-Leon ADE 1,2*DOI: 10.12659/AJCR.945747
Am J Case Rep 2025; 26:e945747
Video 1. Surgical access was achieved using a supraumbilical camera port and 2 additional ports on the umbilical line. Intraoperative colonoscopy assisted in detaching the cyst from the rectum, while stay sutures retracted the bladder, uterus, and vagina. Indocyanine green was injected, which helped precisely separate the cyst from the surrounding muscles, allowing its extension below the peritoneum into the pelvic floor. Complete excision of the cyst was achieved after its puncture.