Congenital multiple colonic atresias in the sigmoid colon and upper rectum
Introduction: Congenital colonic atresia develops in 1 in 20,000 to 66,000 births, accounting for 1.8–15% of all intestinal atresias. Approximately 8.9% of patients with colonic atresia have multiple colonic atresias. Case presentation: A female infant with abdominal distention and bilious vomiting...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-02-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576622003827 |
| _version_ | 1797952178439061504 |
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| author | Kai Konishi Tomoki Tsuda Yuichi Togashi Takuma Kawawaki Atsuro Takimoto Yuma Takeuchi |
| author_facet | Kai Konishi Tomoki Tsuda Yuichi Togashi Takuma Kawawaki Atsuro Takimoto Yuma Takeuchi |
| author_sort | Kai Konishi |
| collection | DOAJ |
| description | Introduction: Congenital colonic atresia develops in 1 in 20,000 to 66,000 births, accounting for 1.8–15% of all intestinal atresias. Approximately 8.9% of patients with colonic atresia have multiple colonic atresias. Case presentation: A female infant with abdominal distention and bilious vomiting did not have a bowel movement until day 3 of life. Plain radiography showed significant dilation of the intestinal tract and no gas in the pelvic cavity. A contrast enema at the age of 3 days showed microcolon and obstruction at the level of the upper rectum. Operative findings included 3 membranous atresias (Type Ⅲ). For the 2 proximal membranous atresias, membranectomy and colostomy in the sigmoid colon were performed. Preoperative contrast enema at 10 months showed a gap between the distal side of the stoma and the blind end of the rectum. The sigmoid colon and rectum were completely resected 6 cm distal to the stoma. Colostomy closure was performed. A total of 4 membranous atresias were present in the sigmoid colon and the upper rectum. Conclusions: In a patient with multiple atresias in the sigmoid colon and upper rectum, multiple-stage surgery could be safe after searching for complicating malformations and evaluating the intestinal tract preoperatively. |
| first_indexed | 2024-04-10T22:42:54Z |
| format | Article |
| id | doaj.art-e4d6447dd1c045d1a21417b8b4230cbc |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-10T22:42:54Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-e4d6447dd1c045d1a21417b8b4230cbc2023-01-16T04:08:03ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662023-02-0189102555Congenital multiple colonic atresias in the sigmoid colon and upper rectumKai Konishi0Tomoki Tsuda1Yuichi Togashi2Takuma Kawawaki3Atsuro Takimoto4Yuma Takeuchi5Department of Pediatric Surgery, Omihachiman Community Medical Center, Japan; Corresponding author. Omihachiman Community Medical Center, 1379 Tsuchida-cho, Shiga, 523-0082, Japan.Department of Pediatric Surgery, Omihachiman Community Medical Center, JapanDepartment of Pediatric Surgery, Omihachiman Community Medical Center, JapanDepartment of Pediatric Surgery, Kyoto Prefectural University of Medicine, JapanDepartment of Pediatric Surgery, Kyoto Prefectural University of Medicine, JapanDepartment of Pediatric Surgery, Uji Tokusyukai Hospital, JapanIntroduction: Congenital colonic atresia develops in 1 in 20,000 to 66,000 births, accounting for 1.8–15% of all intestinal atresias. Approximately 8.9% of patients with colonic atresia have multiple colonic atresias. Case presentation: A female infant with abdominal distention and bilious vomiting did not have a bowel movement until day 3 of life. Plain radiography showed significant dilation of the intestinal tract and no gas in the pelvic cavity. A contrast enema at the age of 3 days showed microcolon and obstruction at the level of the upper rectum. Operative findings included 3 membranous atresias (Type Ⅲ). For the 2 proximal membranous atresias, membranectomy and colostomy in the sigmoid colon were performed. Preoperative contrast enema at 10 months showed a gap between the distal side of the stoma and the blind end of the rectum. The sigmoid colon and rectum were completely resected 6 cm distal to the stoma. Colostomy closure was performed. A total of 4 membranous atresias were present in the sigmoid colon and the upper rectum. Conclusions: In a patient with multiple atresias in the sigmoid colon and upper rectum, multiple-stage surgery could be safe after searching for complicating malformations and evaluating the intestinal tract preoperatively.http://www.sciencedirect.com/science/article/pii/S2213576622003827Colonic atresiaMultipleMicrocolon |
| spellingShingle | Kai Konishi Tomoki Tsuda Yuichi Togashi Takuma Kawawaki Atsuro Takimoto Yuma Takeuchi Congenital multiple colonic atresias in the sigmoid colon and upper rectum Journal of Pediatric Surgery Case Reports Colonic atresia Multiple Microcolon |
| title | Congenital multiple colonic atresias in the sigmoid colon and upper rectum |
| title_full | Congenital multiple colonic atresias in the sigmoid colon and upper rectum |
| title_fullStr | Congenital multiple colonic atresias in the sigmoid colon and upper rectum |
| title_full_unstemmed | Congenital multiple colonic atresias in the sigmoid colon and upper rectum |
| title_short | Congenital multiple colonic atresias in the sigmoid colon and upper rectum |
| title_sort | congenital multiple colonic atresias in the sigmoid colon and upper rectum |
| topic | Colonic atresia Multiple Microcolon |
| url | http://www.sciencedirect.com/science/article/pii/S2213576622003827 |
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