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Abstract

Purpose: Colonic localization is the rarest form of Intestinal atresia. Diagnosis is usually made in the neonatal period by an occlusive syndrome. We report a case diagnosed in Abidjan, in a table of chronic constipation in an infant 8months also having macroglossia.Case report: A 8months-old male Infant was admitted in an array of chronic constipation, bloated stomach with few food vomiting evolving since the age of four (04)months. Physical examination noted a sub-occlusive syndrome associated with upper digestive tract malformation. There was no anal imperforation and anorectal stimulation was not accompanied with stool emission. Suspecting the coexistence of an abnormality of the lower digestive tract, We carried out a low digestive opacification that objectived a long and small pertuis of third proximal transverse colon through which the contrast product passes, associated with a dilation of the colon segment upstream of the lesion and a smaller downstream colon. During evacuation, a stop image is noted in a concave cup downstream of the contrast product. There was no abnormal length of colon. We recommended surgery. The patient, for lack of financial means, was lost sight of. Conclusion:We presented a case of atresia we see as type I according to the classification of LOUW. However, unusual features related to age at diagnosis, clinical manifestations, associated malformations and radiographic images obtained with barium enema are noted.