Staged Repair Using Modified Bishop-Koop Procedure in Complicated Congenital Colonic Atresia in a Neonate

Colonic atresia and stenosis are rare causes of intestinal obstruction in the infant. Only 10 cases have been reported in Literature since 1966 and only one late-onset case has been reported in Literature until now. We describe the case of a 3 day old baby presenting with abdominal distension, failure to pass meconium and vomiting. X-ray of the abdomen showed dilated gut loops. Exploratory laparotomy was performed. At the junction of descending and sigmoid colon a stenosis was found, laparotomy also revealed a perforation of transverse colon. Transverse colostomy and a mucous fistula of sigmoid colon was performed after resecting stenosing segment and colon distal to perforation site upto stenosing site. Diagnosis was confirmed on histopathology. Colostomy was close after six weaks with uneventful recovery. Considering both the Literature and our case, congenital colonic stenosis should be considered one of the rare differential diagnoses in a neonate presenting as complete or partial intestinal obstruction. Key words: Colonic Stenosis; Perforation; Obstruction DOI: http://dx.doi.org/10.3126/jnps.v32i1.5446 J. Nepal Paediatr. Soc. Vol.32(1) 2012 73-75

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Colonic atresia: spectrum of presentation and pitfalls in management: a review of 14 cases

Pediatric Surgery International ◽

10.1007/s00383-005-1568-5 ◽

2005 ◽

Vol 22 (2) ◽

pp. 206-206

Author(s):

S. G. Cox ◽

A. Numanoglu ◽

A. J. W. Millar ◽

H. Rode

Keyword(s):

Colonic Atresia

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A case of congenital colonic atresia associated with atresia ani

Journal of Pediatric Surgery ◽

10.1016/s0022-3468(87)80507-9 ◽

1987 ◽

Vol 22 (11) ◽

pp. 1025-1026 ◽

Cited By ~ 6

Author(s):

Kohju Nitta ◽

Makoto Iwafuchi ◽

Yoshihiro Ohsawa ◽

Masanori Uchiyama ◽

Iwao Yamagiwa ◽

...

Keyword(s):

Colonic Atresia

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Neonatal intestinal obstruction: report

Eastern Mediterranean Health Journal ◽

10.26719/2000.6.1.187 ◽

2000 ◽

Vol 6 (1) ◽

pp. 187-193

Author(s):

G. A. Nasir ◽

S. Rahma ◽

A. H. Kadim

Keyword(s):

Mortality Rate ◽

Conservative Treatment ◽

Intestinal Obstruction ◽

Imperforate Anus ◽

Surgical Intervention ◽

Duodenal Atresia ◽

Colonic Atresia ◽

Neonatal Intestinal Obstruction ◽

Age Range ◽

Surgical Unit

We reviewed 36 cases of neonatal intestinal obstruction admitted to our surgical unit over a 10-year period, 1986-1996, for surgical intervention following the failure of conservative treatment. There were more males than females and the age range was 12 hours-26 days. Imperforate anus was the main cause of the obstruction [27.8%] followed by duodenal atresia [13.9%] and colonic atresia and meconium ileus [11.1% each]. There were 8 deaths following surgery [22% mortality rate], the main causes being aspiration pneumonia, septicaemia and hypothermia

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