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Colonic Atresia and Diverticulum, Case Report and Literature Revision


Abstract

Background: Colonic atresia is the least frequent cause of neonatal intestinal obstruction; the estimated incidence is between 1.8 and 5.0% of all cases of intestinal atresia in the newborns or 1 in 40,000 live births. A type I case of colonic atresia in a newborn male is presented, undergoing a satisfactory post-surgical evolution.

Aim and Objectives: To report an unusual association  and its surgical resolution.

Methods/Study Design: Case report and literature revision. An 8 days old female baby is admitted to the emergency department with story of lack of stools, vomiting, abdominal distention and biliary  stained gastric liquid through orogastric tube.  An abdominal X –ray was taken, where hydro- aerial levels where evident along with intestinal distension  and no distal gas.

A barium contrast enema showed an unused or hypoplastic distal  colon with contrast not being able to pass beyond the level of the atresia

Results/Findings: A supra-umbilical transverse laparotomy  was performed showing a small diverticulum 25 cms. proximal to the ileocecal valve, proximal to the the ileocecal valve a dilated intestine loop was found, along with a colonic atresia type I,  20 cm distal to de ileocecal valve. The dilated  20 cm. segment was resected and a Foley catheter was passed distally. A two stoma ileostomy was  constructed.

Conclusion: Colonic atresia is a rare condition that requires a high suspicious index and a prompt medical and surgical approach.

Keywords: intestinal obstruction, colonic atresia, newborn.

References:

1. Congenital colonic stenosis: a case of late-onset. Ruggeri G, Libri M, Gargano T, Pavia S, Pasini L, Tani G, Lima M.Pediatr Med Chir. 2009 May-Jun; 31(3):130

2. Congenital colonic atresia: should primary anastomosis always be the goal? Watts AC, Sabharwal AJ, MacKinlay GA, Munro FD.Pediatr Surg Int. 2003 Apr; 19(1-2):14-7. Epub 2003 Mar 10.

Poster
non-peer-reviewed

Colonic Atresia and Diverticulum, Case Report and Literature Revision


Author Information

Guillermo Yanowsky

Cirugia pediatrica, Hospital Civil de Guadalajara


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  • Author Information
    Omar Sanchez Alvarez Corresponding Author

    None

    Guillermo Yanowsky

    Cirugia pediatrica, Hospital Civil de Guadalajara

    Poster Information
    Meeting

    First International Online BioMedical Conference September 09, 2015 - September 12, 2015

    Publication history

    Received by Cureus: August 30, 2015
    Published: September 09, 2015

    License

    This is an open access poster distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Colonic atresia is the least frequent cause of neonatal intestinal obstruction; the estimated incidence is between 1.8 and 5.0% of all cases of intestinal atresia in the newborns or 1 in 40,000 live births. A type I case of colonic atresia in a newborn male is presented, undergoing a satisfactory post-surgical evolution.

Aim and Objectives: To report an unusual association  and its surgical resolution.

Methods/Study Design: Case report and literature revision. An 8 days old female baby is admitted to the emergency department with story of lack of stools, vomiting, abdominal distention and biliary  stained gastric liquid through orogastric tube.  An abdominal X –ray was taken, where hydro- aerial levels where evident along with intestinal distension  and no distal gas.

A barium contrast enema showed an unused or hypoplastic distal  colon with contrast not being able to pass beyond the level of the atresia

Results/Findings: A supra-umbilical transverse laparotomy  was performed showing a small diverticulum 25 cms. proximal to the ileocecal valve, proximal to the the ileocecal valve a dilated intestine loop was found, along with a colonic atresia type I,  20 cm distal to de ileocecal valve. The dilated  20 cm. segment was resected and a Foley catheter was passed distally. A two stoma ileostomy was  constructed.

Conclusion: Colonic atresia is a rare condition that requires a high suspicious index and a prompt medical and surgical approach.

Keywords: intestinal obstruction, colonic atresia, newborn.

References:

1. Congenital colonic stenosis: a case of late-onset. Ruggeri G, Libri M, Gargano T, Pavia S, Pasini L, Tani G, Lima M.Pediatr Med Chir. 2009 May-Jun; 31(3):130

2. Congenital colonic atresia: should primary anastomosis always be the goal? Watts AC, Sabharwal AJ, MacKinlay GA, Munro FD.Pediatr Surg Int. 2003 Apr; 19(1-2):14-7. Epub 2003 Mar 10.

Omar Sanchez Alvarez

None

For correspondence:
omarsanchez222@hotmail.com

Guillermo Yanowsky

Cirugia pediatrica, Hospital Civil de Guadalajara

Omar Sanchez Alvarez

None

For correspondence:
omarsanchez222@hotmail.com

Guillermo Yanowsky

Cirugia pediatrica, Hospital Civil de Guadalajara

Omar Sanchez Alvarez

None

For correspondence:
omarsanchez222@hotmail.com

Guillermo Yanowsky

Cirugia pediatrica, Hospital Civil de Guadalajara

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