Document Detail

Association of colonic atresia and Hirschsprung's disease in the newborn: report of a new case and review of the literature.
MedLine Citation:
PMID:  16021458     Owner:  NLM     Status:  MEDLINE    
Colonic atresia (CA) is an infrequent cause of lower gastrointestinal obstruction in the neonate. Coexistence with aganglionosis of the colon (Hirschsprung's disease) has been reported but is generally not recognized in the neonatal period. We report another case and present a review of the literature. A boy with a lower gastrointestinal obstruction, caused by a CA type III, had creation of a proximal colostomy and a distal mucous fistula on the 1st day of life. In the preoperative work-up before restoring the continuity, rectal suction biopsies revealed the presence of Hirschsprung's disease. When the boy was 6 months old, a distal colectomy and reanastomosis were done. Creation of a colostomy and reanastomosis in a second procedure is recommended for treating a type III CA unless distal aganglionosis has been ruled out.
P Lauwers; E Moens; K Wustenberghs; A Deprettere; M Ruppert; L Balliu; G Hubens; W Vaneerdeweg
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2005-07-14
Journal Detail:
Title:  Pediatric surgery international     Volume:  22     ISSN:  0179-0358     ISO Abbreviation:  Pediatr. Surg. Int.     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-03-15     Completed Date:  2006-07-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  277-81     Citation Subset:  IM    
Department of Abdominal and Pediatric Surgery, University Hospital of Antwerp, Wilrijkstraat 10, 2650, Edegem, Antwerp, Belgium.
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MeSH Terms
Abnormalities, Multiple*
Anal Canal / surgery
Anastomosis, Surgical
Colon / abnormalities*,  surgery
Diagnosis, Differential
Follow-Up Studies
Hirschsprung Disease / pathology,  surgery*
Infant, Newborn
Intestinal Obstruction / etiology*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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