Congenital colonic atresia. Surgery correction in one or two stages?

Sigmoid atresia is rare, the recognzed prevalence is 1 per 15.000 to 60.000 live born. We present a 30 hours old boy with vomiting, abdominal distension and failure to pass meconium. Physical examination showed severe abdominal distension. An enema was performed and a gray mucus plug taken out. The...

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Bibliographic Details
Published inCirugía pediátrica Vol. 18; no. 1; pp. 42 - 45
Main Authors Sanjuán Rodríguez, S, Moreno Hurtado, C, Santamaría Ossório, J I
Format Journal Article
LanguageSpanish
Published Spain 01.01.2005
Subjects
Anus, Imperforate - diagnostic imaging
Anus, Imperforate - surgery
Colostomy - methods
Humans
Infant, Newborn
Male
Radiography
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Summary:Sigmoid atresia is rare, the recognzed prevalence is 1 per 15.000 to 60.000 live born. We present a 30 hours old boy with vomiting, abdominal distension and failure to pass meconium. Physical examination showed severe abdominal distension. An enema was performed and a gray mucus plug taken out. The abdominal plain XR showed bowel obstruction and in a barium enema only 5-7 cm of microcolon was seen. With the diagnosis of sigmoid atresia the patient underwent surgery, observing one atresia type I, with dilated proximal loop and distal microcolon. A colostomy was performed and few days later one end-to-end anastomosis was made.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0214-1221