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Congenital segmental dilatation of colon with colonic atresia

Paras Kothari1, Gowrishankar, Anurag Rastogi

  • 1Department of Pediatric Surgery, L T M Medical College and L T M General Hospital, Mumbai-400 022, India. drparaskothari@rediffmail.com

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|July 26, 2005
PubMed

Insights

Congenital segmental dilatation of the colon, a rare condition, can occur with sigmoid atresia in neonates. Surgical intervention with colostomy led to a positive outcome for the infant.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Genetics

Background:

  • Congenital segmental dilatation of the colon (CSDC) is a rare condition mimicking Hirschsprung's disease but with normal ganglion cells.
  • CSDC typically presents in older children with chronic constipation.

Observation:

  • This report details a rare case of CSDC in a neonate.
  • The condition was associated with sigmoid atresia, a severe intestinal malformation.

Findings:

  • The neonate with CSDC and sigmoid atresia was successfully treated with a colostomy.
  • The infant is reported to be in good health following the surgical procedure.

Implications:

  • This case highlights the importance of considering CSDC in neonates with intestinal obstruction and constipation.
  • Early diagnosis and surgical management, including colostomy, can lead to favorable outcomes in complex cases of CSDC.
  • Further research into the genetic and developmental factors underlying CSDC and associated anomalies is warranted.

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