Document Detail

A newer variant of congenital pouch colon with rectal agenesis: management strategy and review of the literature.
MedLine Citation:
PMID:  22679056     Owner:  NLM     Status:  MEDLINE    
A 3-day-old male baby presented with clinico-radiological features of rectal atresia with colo-urinary fistula. There was no radiological evidence of congenital pouch colon (CPC), but per-operatively CPC of unusual anatomy was found. The CPC was intermediate between type I and type II of Narsimha's classification. The pouch had rudimentary appendix and proximal colovesical fistula. The distal end of CPC was free. In the first stage, diverting ileostomy was done. In follow-up, after 1 month because of rectourinary fistula baby developed hyperchloremic metabolic acidosis and uremic sepsis. First metabolic correction and control of sepsis were done. Thereafter, abdomino-posterior saggital approach was used for excision of colovesical fistula, appendectomy, coloplasty and colorectal anastmosis. The ileostomy was left undisturbed. The infant at present is waiting for the third stage ileostomy closure.
Sunita Singh; Intezar Ahmed; Ashish Wakhlu
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2011-08-31
Journal Detail:
Title:  BMJ case reports     Volume:  2011     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2011  
Date Detail:
Created Date:  2012-06-08     Completed Date:  2013-05-24     Revised Date:  2013-09-03    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Pediatric Surgery Department, CSS Medical University, Lucknow, Uttar Pradesh, India.
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MeSH Terms
Anastomosis, Surgical
Colon / abnormalities*
Infant, Newborn
Intestinal Fistula / congenital*,  surgery*
Rectum / abnormalities*

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