Congenital colonic stenosis with absent caecum and appendix: a rare association

Khanna, Kashish; Yadav, Devendra Kumar; Nandan, Ruchira; Goel, Prabudh; Rao, Potala Srinivas

doi:10.1136/bcr-2018-225072

Cited by 1 publication

(7 citation statements)

References 12 publications

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“…However, contrast enema was not conclusive in making a preoperative diagnosis of CCS in our study similar to other reported cases where the diagnosis of CCS could be made only during laparotomy. The length of stenotic colon may vary 1–16.5 cm;[ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ] while in our study, it ranged 1–8 cm. CCS may involve any part of the colon, namely ascending colon,[ 2 3 5 10 11 14 ] transverse colon,[ 2 4 10 14 ] descending colon,[ 2 4 7 12 14 ] and sigmoid colon.…”

Section: Discussioncontrasting

confidence: 49%

“…The length of stenotic colon may vary 1–16.5 cm;[ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ] while in our study, it ranged 1–8 cm. CCS may involve any part of the colon, namely ascending colon,[ 2 3 5 10 11 14 ] transverse colon,[ 2 4 10 14 ] descending colon,[ 2 4 7 12 14 ] and sigmoid colon. [ 4 5 6 13 14 ] The most commonly involved colonic segments are descending and sigmoid colon.…”

Section: Discussioncontrasting

confidence: 49%

“…[ 1 ] CCS is even rarer with about 35 cases reported in both English and nonenglish literature, to the best of our knowledge. [ 2 3 4 5 6 7 8 9 10 11 12 13 14 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 ] To the best of our knowledge, from 1961 to date, about 35 cases of CCS have been reported in the literature in neonates and children. [ 2 3 4 5 6 7 8 9 10 11 12 13 14 ] CCS most commonly involves the descending and sigmoid colon with a length of involved segment ranging from 1 to 16.5 cm. [ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ]…”

Section: Introductionmentioning

confidence: 99%

“…[ 2 3 4 5 6 7 8 9 10 11 12 13 14 ] CCS most commonly involves the descending and sigmoid colon with a length of involved segment ranging from 1 to 16.5 cm. [ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ]…”

Section: Introductionmentioning

confidence: 99%

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Congenital Colonic Stenosis

Gupta

Singh

Sunil

et al. 2021

Journal of Indian Association of Pediatric Surgeons

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Aims: Congenital colonic stenosis (CCS) is an extremely rare cause of low-intestinal obstruction in neonates/child. We report our experience with seven cases of CCS presenting with low-intestinal obstruction and diagnosed intraoperatively and also propose an algorithm for its appropriate treatment for the adequate outcome. Materials and Methods: It was a retrospective study of seven patients of CCS including two neonates (5-days and 15-days old), four infants (age range – 2–11 months), and one 24-month-old child admitted from 2014 to 2019. Information regarding the age of presentation, clinical presentation, physical findings, radiological and laboratory findings, details of surgery, and outcome was retrieved and analyzed. Results: The male-to-female ratio was 5:2. Patients were initially diagnosed as cases of Hirschsprung's disease in five and ileal atresia in two. A final diagnosis of CCS was made during surgery and histopathological examination of resected stenotic segment. The segment involved was ascending colon in three, transverse colon in two, and sigmoid colon and junction of descending and sigmoid colon each in one patient. Resection of stenotic colonic segment and primary end-to-end anastomosis was performed in two, divided stoma after resection of the stenotic segment and secondary anastomosis in three, and proximal loop terminal ileostomy followed by resection of the stenotic colonic segment and ileocolic anastomosis after 10–12 weeks in two. Conclusions: CCS is a rare but possible cause of large-bowel obstruction, in neonatal, infant, and children particularly when associated with a history of chronic constipation since birth. It should be kept in mind as a differential diagnosis while managing a case of neonatal and pediatric intestinal obstruction, particularly low-bowel obstruction along with a history of chronic constipation. Treatment should be individualized for each patient based on clinical status and associated anomalies to give the best results with less morbidity.

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Section: Discussioncontrasting

confidence: 49%

Section: Discussioncontrasting

confidence: 49%

“…[ 1 ] CCS is even rarer with about 35 cases reported in both English and nonenglish literature, to the best of our knowledge. [ 2 3 4 5 6 7 8 9 10 11 12 13 14 ]…”

Section: Discussionmentioning

confidence: 99%