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Case Reports
. 2011 Apr;16(2):61-3.
doi: 10.4103/0971-9261.78133.

Congenital pouch colon and segmental dilatation of the colon: A report of two unusual cases

Archana Puri  1 , Subhashis Roy Choudhury, Partap Singh Yadav, Jitendra Kumar Grover, Nitin Pant, Rajiv Chadha
Affiliations
Case Reports

Congenital pouch colon and segmental dilatation of the colon: A report of two unusual cases

Archana Puri et al. J Indian Assoc Pediatr Surg. 2011 Apr.

Abstract

This report describes two unusual cases of anorectal malformation. The first had a type III congenital pouch colon with a colovesical fistula. In the other very similar case, segmental dilatation of the colon was present along with penoscrotal hypospadias and, distally, a length of normal colon ending in a rectourethral fistula. In both patients, the appendix was short, stubby and a Y-shaped duplication of the normal colon was present just proximal to the dilated segment of colon.

Keywords: Anorectal malformation; congenital pouch colon; duplication of colon; segmental dilatation of colon.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Case 1. Operative view showing the colonic pouch and the Y-shaped duplication of the proximal colon with membranous atresia of the lateral limb of the duplication (black arrow). There is a gap in the mesentery (white arrow) and an incision to decompress the colonic pouch (arrowhead)
Figure 2
Figure 2
Case 2. Photograph taken during surgery showing the dilated colon and the Y-shaped duplication of the normal proximal colon. The narrow medial limb of the duplication has been divided. Note the short, stubby appendix (arrowhead)
Figure 3
Figure 3
Case 2. Distal colostogram showing the colon ending in a long, narrow rectourethral fistula opening (arrow) proximal to the hypospadic urethral meatus
See this image and copyright information in PMC

References

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