Congenital Atresia and Stenosis of the Colon

Peck, Donald A.

doi:10.1001/archsurg.1963.01310150064015

Cited by 34 publications

(4 citation statements)

References 16 publications

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“…Isolated colonic stenosis is even rarer than atresias 1 . Binniger had reported fi rst case of colonic stenosis in 1673 and in 1922; Gaub described the fi rst survival of patient with this anomaly after colostomy 3 . Louw described that type IV colonic atresia as colonic stenosis 4 .…”

Section: Discussionmentioning

confidence: 99%

Congenital Descending Colonic Stenosis with Perforation of Transverse Colon in a Neonate: A Case Report

Hamid

Shera

et al. 2012

J. Nepal Paedtr. Soc.

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Colonic atresia and stenosis are rare causes of intestinal obstruction in the infant. Only 10 cases have been reported in Literature since 1966 and only one late-onset case has been reported in Literature until now. We describe the case of a 3 day old baby presenting with abdominal distension, failure to pass meconium and vomiting. X-ray of the abdomen showed dilated gut loops. Exploratory laparotomy was performed. At the junction of descending and sigmoid colon a stenosis was found, laparotomy also revealed a perforation of transverse colon. Transverse colostomy and a mucous fistula of sigmoid colon was performed after resecting stenosing segment and colon distal to perforation site upto stenosing site. Diagnosis was confirmed on histopathology. Colostomy was close after six weaks with uneventful recovery. Considering both the Literature and our case, congenital colonic stenosis should be considered one of the rare differential diagnoses in a neonate presenting as complete or partial intestinal obstruction.

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Section: Discussionmentioning

confidence: 99%

Congenital Descending Colonic Stenosis with Perforation of Transverse Colon in a Neonate: A Case Report

Hamid

Shera

et al. 2012

J. Nepal Paedtr. Soc.

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“…Most commonly, these congenital defects include other forms of intestinal atresia, abdominal wall defects, and mesenteric abnormalities. 1,2,4,5,8 However, to our knowledge, there were no reports of CA cases associated with Rubinstein-Taybi syndrome (RTS), although there have been reports of malrotation 9 and volvulus 10 co-occurring with RTS. Notably, our patient also presented with…”

Section: Discussionmentioning

confidence: 99%

“…Louw, 8 based on retrospective analysis of cases and experiments with animals, suggested that intrauterine mesenteric vascular accidents during the late stage of fetal development were likely a cause of most colonic atresias. Other authors suggest that the reasons for these defects might be a failure of recanalization at the solid stage of intestinal development, 2,4,8 familial or genetic inheritance, 2,5 or enteric injury associated with fetal varicella. 5 Yet, both the origin and the pathogenesis of CA remain unknown.…”

Section: B Anteroposterior View Cmentioning

confidence: 99%

“…1 The clinical presentation of patients with CA typically includes distension of the abdomen, failure to pass meconium within 24 to 48 hours after birth, and bilious emesis. [2][3][4] In a review of 224 cases of CA, Etensel et al 5 found that the right side of the colon was more frequently affected by CA than the left side of the colon, and the transverse colon and the ascending colon were the most common sites of the disease. We report a case of CA in a newborn with multiple congenital anomalies and clinically suspected Rubinstein-Taybi syndrome (RTS).…”

Section: Introductionmentioning

confidence: 99%

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A Case Report: Colonic Atresia in a Newborn with Presumed Rubinstein-Taybi Syndrome

Yeager¹,

Watterson²,

Hall³

2023

RSP

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Colonic atresia is an uncommon cause of intestional obstruction. There is a scarcity of cases of colonic atresia described in the literature, and the pathogenesis of the disease remains unknown. Although the clinical presentation of patients with colonic atresia seldom varies, reported co-occurring anomalies vary widely; almost half of the cases involve other congenital defects. We report a case of colonic atresia that appears to have co-occurred with Rubinstein-Taybi syndrome, another rare congenital disease. Based on a literature search, we believe that this might be the first reported case of co-occurrence of these two rare anomalies.

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Congenital Absence of the Colon and Rectum

Blunt¹,

Rich²

1967

Arch Pediatr Adolesc Med

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The infant, a girl weighing 2.83 kg (6.24 lb), was the second child of Papuan parents. Delivery had been by cesarean section at term for a major degree of placenta praevia, and no hydramnios had been noted prior to delivery. Physical examination of the child showed a slight anal dimple but no anal orifice. No other abnormality was detected on external examination. A straight x-ray film of the abdomen with the infant inverted showed a large gap from the anal dimple to gas in the colon. Thirty-six hours after birth an intravenous infusion was commenced via the umbilical vein, and the perineum was explored under a general anesthetic. Perineal exploration failed to reach the rectum so a laparotomy through a transverse lower abdominal incision was performed. The ileum was grossly distended and this terminated in a blind end on which a normal appendix was seen. From this point onwards, there was a complete absence of colon and rectum. Although distended and blue, the terminal ileocecal region was thought to be viable. The ap¬ pendix was removed and a terminal cecostomy performed in the right iliac fossa. The infant died on the second post¬ operative day from a peritonitis following perforation of the ileum.Postmortem examination confirmed the antemortem finding of an absent colon and rectum. The intestine was found to have ruptured 12 cm from the cecostomy and had produced a meconium peritonitis. In addition, there was a complete absence of the left kidney and ureter and of the left tube and ovary. The right kidney and ureter were normal, and the uterus ap¬ peared to be unicornate with a normal right horn, tube, and ovary. The left adrenal was considerably larger than the right. All other organs were normal. There were two umbilical arteries present. His¬ tological examination of the iliocecal re¬ gion showed a change in the lining epithelium from small bowel to cecal pat¬ tern approximately 2 cm from the termi¬ nation. The colon was completely absent from the early ascending colon onwards.There was no rectum. There was no sign of any fibrous band or residual structure that might have represented a hypoplastic colon.

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Congenital Atresia and Stenosis of the Colon

Cited by 34 publications

References 16 publications

Congenital Descending Colonic Stenosis with Perforation of Transverse Colon in a Neonate: A Case Report

Congenital Descending Colonic Stenosis with Perforation of Transverse Colon in a Neonate: A Case Report

A Case Report: Colonic Atresia in a Newborn with Presumed Rubinstein-Taybi Syndrome

Congenital Absence of the Colon and Rectum

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