Congenital Descending Colonic Stenosis with Perforation of Transverse Colon in a Neonate: A Case Report.
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Date
2012-01
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Abstract
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.
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Keywords
Colonic Stenosis, Perforation, Obstruction
Citation
Hamid R, Shera A H, Bhat N A, Baba A, Rashid A. Congenital Descending Colonic Stenosis with Perforation of Transverse Colon in a Neonate: A Case Report. Journal of Nepal Paediatric Society. 2012 Jan-Apr; 32(1): 73-75.