Congenital pouch colon with colonic atresia- An unusual embryological association: A case report

Abstract

Background: Congenital pouch colon (CPC) is a rare variant of high anorectal malformation. More and more varied associations of CPC with other entities are being added to the literature. Case presentation: A 1-day-old male baby presented to the emergency room with marked abdominal distension and absent anal opening. On exploration, the baby was found to have CPC (Type 2) with colonic atresia. This association has not been reported in English literature. Conclusion: This is a report of a case of type 2 CPC with colonic atresia. To the best of our knowledge, such an association has not been reported so far. The final embryological outcome is dictated both by the topography and timing of vascular insult.

Staged Repair Using Modified Bishop-Koop Procedure in Complicated Congenital Colonic Atresia in a Neonate

“…Focusing on CA signs and symptoms, a retrospective study done in India concluded that the common presenting signs and symptoms were distended abdomen, constipation, and bilious vomiting [9]. Moreover, meconium-stained penis and dehydration can be presented in CA patients [10]. Our patient presented with abdominal distention, bilious vomiting, jaundice, and high-grade fever.…”

“…Regarding the management of CA, staged surgery was preferred over primary anastomosis due to the potential risk of primary bowel anastomosis [10]. Nowadays, primary anastomosis is the procedure of choice for uncomplicated CA.…”

“…Nowadays, primary anastomosis is the procedure of choice for uncomplicated CA. In order to avoid the anastomosis complications, staged reconstruction with proximal diversion is recommended in patients with left colonic and sigmoid atresia [8,10]. Moreover, a proximal diversion was combined with primary anastomosis in half of the cases [10].…”

“…In order to avoid the anastomosis complications, staged reconstruction with proximal diversion is recommended in patients with left colonic and sigmoid atresia [8,10]. Moreover, a proximal diversion was combined with primary anastomosis in half of the cases [10]. Stoma stenosis and wound dehiscence were reported as postoperative complications [10].…”

“…Moreover, a proximal diversion was combined with primary anastomosis in half of the cases [10]. Stoma stenosis and wound dehiscence were reported as postoperative complications [10]. The Bishop-Koop procedure is defined as the creation of distal end-stoma after anastomosing the end of the proximal stoma with the side of the end stoma [12].…”