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Living with Caudal duplication

A rare condition present from birth in which parts of the lower body are duplicated.

Understanding Caudal duplication

Caudal duplication is a rare developmental condition in which structures from the lower part of the early embryo are duplicated to different degrees.

These structures come from the embryonic cloaca and notochord. Features can involve the spine, bowel, urinary system, and genitals. It begins during pregnancy or in the newborn period.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Split or differently shaped tailbone (bifid sacrum)
  • Duplicated bowel
  • Duplicated ureter (a tube from the kidney)
  • Small or missing kidney
  • Genital differences
  • Opening in the spine (myelomeningocele)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, digestive system specialists, genetic specialists and kidney specialists.

  3. Consider genetic testing

    Changes in AXIN1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Pull-thru Network and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which parts of the body are affected, and what tests are needed?
What surgeries might be needed, and when?
Which specialists should be on my child's care team?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
GenesAXIN1

Changes in the AXIN1 gene are listed for this condition. GARD doesn't describe how it is inherited.

GeneticNeurologicalKidneyGastrointestinal

Also known as: dipygus; split notochord syndrome

Patient organizations

Source: NIH GARD · Caudal duplicationGARD ID 1164 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Caudal duplication.

Explore the Caudal duplication blog

Explore research for Caudal duplication

Explore actively recruiting Caudal duplication studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Caudal duplication with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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I can help you find recruiting Caudal duplication studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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