Role of plain abdominal radiographs in predicting type of congenital pouch colon

Abstract

Plain abdominal radiographs have a predictive value in determining the type of CPC and obviating the need for an invertogram.

Spontaneous perforation of the colon and rectum complicating anorectal malformations in neonates

“…Such muscular deficiency along with raised intraluminal pressure is probably responsible for more frequent rupture of the rectum in ARM. A high incidence of bowel perforation in CPC [4,18] also favors the muscular deficiency theory. In a subset of ARM cases, restored transmural perfusion after relief of obstruction appears to precipitate an ischemia-reperfusion injury and perforation somewhat analogous to the pathogenesis of necrotizing enterocolitis.…”

“…In a subset analysis, they found 2 perforations (9.5%) among 21 cases with delayed presentation of ARM. Mathur et al [18] recorded 5 perforations (6.5%) among 77 cases of ARM with congenital pouch colon (CPC). An Indian study [19] reported 2 perforations (1.6%) of 125 ARM, whereas a Japanese series [20] recorded 2 perforations (5.6%) in 36 cases of ARM.…”

Congenital pouch colon with rectal atresia revisited

“…The majority of cases of CPC have been reported from North India. [1] CPC was placed in the group of “rare/regional variants” of the Krickenbeck International classification. [7] The RA itself is a rare entity.…”

“…[1] In the abdominal radiograph, a single, large, dilated bowel loop with an air-fluid level occupying more than half of the total width of the abdominal cavity and displacing the small bowel to one side is usually diagnostic of CPC. Mathur et al .…”

“…The majority of cases of CPC have been reported from North India. [1] The rectal atresia (RA) itself is a rare entity. The association of CPC anomaly with RA has been described in only five cases, and we are adding two more cases along with review of pertinent literature.…”