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The authors report a very rare case of giant duplication of sigmoid colon in a 4-year-old girl successfully diagnosed and treated with a laparoscopy-assisted technique. This case shows that laparoscopy is useful in definitive diagnosis of giant cystic masses with a preoperative undiagnosed origin. Laparoscopy-assisted treatment of these benign masses may be realized, even in difficult cases such as the one described.doi:10.4293/crsls.2014.00238 fatcat:c3wjlrkpsrgahhgfvul6aggm24