Segmental dilatation of sigmoid colon in a neonate: atypical presentation and histology

Congenital segmental dilatation of the colon

“…Mahadevaiah et al [4] reviewed the literature in 2011, and found nine cases of CSDC reported in neonates. Most of these neonatal cases were diagnosed peroperatively [8], whereas in our case, the diagnosis was made preoperatively due to the classical picture of the contrast enema, demonstrating an abrupt transition between the dilated segment and the normal colon proximally and distally; this radiological picture differentiates CSDC from Hirschsprung's disease.…”

“…Mahadevaiah et al [4] reviewed the literature in 2011 and found only nine cases of CSDC reported in neonates.…”

Segmental colonic dilation is associated with premature termination of high‐amplitude propagating contractions in children with intractable functional constipation

“…Segmental colonic dilation is often encountered in children with severe constipation, both of functional and organic origin . In early life, this phenomenon is usually associated with congenital organic diseases such as Hirschsprung's disease, anorectal malformations or other birth defects such as intestinal atresia . However, segmental colonic dilation can also be observed in older children with long‐standing symptoms of functional constipation (FC), in whom underlying organic pathology has been ruled out .…”

“…[1][2][3][4][5][6][7] In early life, this phenomenon is usually associated with congenital organic diseases such as Hirschsprung's disease, anorectal malformations or other birth defects such as intestinal atresia. [8][9][10][11] However, segmental colonic dilation can also be observed in older children with long-standing symptoms of functional constipation (FC), in whom underlying organic pathology has been ruled out. 6,7,12 The phenomenon of segmental dilation has also been described in adults and this has led to the definitions of megacolon and megarectum, defined by Preston et al as a colonic/ rectal width of >6.5 cm.…”

Rare defect of development – congenital segmental dilation of the colon in the newborn. Literature review and own observation

“…В огляді, проведеному Mahadevaiah та співавт. (2011) [11], було знайдено лише дев'ять описаних у світовій літературі випадків ВСДТК у новонароджених.…”