Congenital pouch colon with imperforate anus A report of 3 cases

authors:

avatar S Sadeghipour Roodsary , * , avatar M Hiradfar , avatar N Zabolinejad , avatar SA Alamdaran


how to cite: Sadeghipour Roodsary S, Hiradfar M, Zabolinejad N, Alamdaran S. Congenital pouch colon with imperforate anus A report of 3 cases. J Inflamm Dis. 2006;10(1):e155200. 

Abstract

Abstract Congenital pouch colon (CPC) is an unusual condition in imperforate anus (IA), usually of high variety. This malformation is mostly reported from India, where it comprises about 7% of all anorectal malformations. In this anomaly, the normal colon is very short or absent and is replaced by a pouch like dilatation that usually communicates through a fistula with genitourinary tract or persistent cloaca. We are reporting on three cases of newborns (2 females, and 1 male) with this anomaly diagnosed during September 2001 to September 2004. These three cases comprise less than 3% of all cases of IA during this time period. The two girls had anorectal agenesia, short segment of colon and a pouch with vaginal fistula and persistent cloaca (Type II). Colon in the third case was replaced by a dilated pouch that communicated with a wide fistula to the bladder (Type I). This is very important for pediatric surgeons to be aware of the features of this condition to allow for proper diagnosis and surgical management.