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[Congenital colonic stenosis].

A García Vázquez1, I Cano Novillo, E Portela Casalod

  • 1Servicio de Cirugía Pediátrica, Hospital 12 de Octubre, Madrid, Spain. aravaz@yahoo.es

Anales Espanoles De Pediatria
|February 28, 2002
PubMed
Summary

Congenital colonic stenosis is rare. This case study details a successful laparoscopic resection and anastomosis in a 2-month-old infant, resulting in a rapid recovery and excellent long-term outcomes.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Developmental Biology

Background:

  • Congenital intestinal stenosis and atresia are rare, with the colon being the least common site, accounting for 5-15% of cases.
  • Symptoms in infants can include vomiting, constipation, weakness, and abdominal distension, necessitating prompt diagnosis and intervention.

Observation:

  • A 2-month-old boy presented with vomiting, constipation, weakness, and abdominal distension.
  • Diagnostic imaging, including contrast enema and colonoscopy, identified a focal area of narrowing in the sigmoid colon.

Findings:

  • Laparoscopic surgery revealed a stenotic segment in the sigmoid colon with proximal dilation.
  • Video-assisted resection and end-to-end anastomosis were performed, with the infant experiencing an uneventful recovery.

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  • Postoperative imaging confirmed successful anastomosis and normal bowel diameter.

    • Implications:

    • Laparoscopic approach offers magnified visualization, precise identification of the affected segment, and exclusion of other pathologies.
    • Minimally invasive surgery resulted in rapid recovery, excellent functional outcomes, and superior cosmetic results.
    • This case highlights the efficacy of laparoscopic intervention for congenital colonic stenosis in infants.