Focal ectasia of the terminal bowel accompanying low anal deformities

Congenital pouch colon associated with anorectal agenesis (pouch colon syndrome)

“…We are of the opinion that the incidence in the West is much higher than the one quoted, as many cases of type IV CPC are being inappropriately labelled as rectal ectasia/megarectum-megasigmoid. The case reports of Cloutier et al [2], Pen˜a et al [3], and several others are a case in point [4][5][6][7][8][9]. Children who continued to suffer from severe constipation and overflow incontinence following previous surgery for low/intermediate anorectal malformations (ARM) were referred to these authors.…”

“…The cases reported in the Western literature also appear to be corresponding to type IV pouch, which is usually associated with low/intermediate ARM. Increased awareness of this entity is essential to avoid postoperative problems of severe constipation in this subgroup of patients with ARM as exemplified in the reported cases [2][3][4][5][6][7][8][9]. Excellent results can be obtained by complete excision of the pouch in all cases of type IV CPC prior to anoplasty.…”

Posterior urethral valves in a newborn with imperforate anus: clinical presentation and management

“…It has been reported that those patients who are found to have large, dilated bowel either before or after primary correction of imperforate anus are more likely to experience bowel function difficulties [5][6][7][8]. This is thought to be because of a functional defect in the dilated segment, and tapering or resection of this area has been recommended, as was done in this case.…”

Primary sigmoidectomy and appendicostomy for chronic idiopathic constipation

“…Antegrade enemas and bowel resections are colorectal surgical procedures having an important role in the treatment of different functional colorectal problems. These two operations have evolved since the first use of antegrade continence enema (ACE) in 1990 to treat patients with fecal incontinence associated with myelomeningocele and anorectal malformations [5], and since colorectal resections in 1982 were used to treat megarectum in patients with anorectal malformations [6][7][8]. Colonic resections or ACE procedures have also been used in children with chronic idiopathic constipation [1,3,[9][10][11].…”