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Congenital pouch colon: Increasing association with low anorectal anomalies

Arunachalam Pavai1, Suma D Pillai, S Shanthakumari

  • 1Departments of Paediatric Surgery, Pathology, P.S.G Institute of Medical Sciences and Research and Hospitals, Peelamedu, Coimbatore 641 004, India.

Journal of Indian Association of Pediatric Surgeons
|April 27, 2010
PubMed

Insights

Congenital pouch colon, a rare condition, can cause severe constipation in children with low anorectal anomalies. Surgical excision of the pouch offers excellent outcomes for these pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Malformations

Background:

  • Congenital pouch colon (CPC) is a rare anomaly.
  • It is often associated with low anorectal malformations (ARM).
  • CPC can lead to intractable constipation post-ARM repair.

Observation:

  • This report details three cases of type IV CPC.
  • All cases presented with low anorectal anomalies.
  • Patients experienced severe, persistent constipation.

Findings:

  • Surgical excision of the congenital pouch colon was performed.
  • Radiological and pathological features were analyzed.
  • Excellent clinical results were achieved post-excision.

Implications:

  • Congenital pouch colon should be considered in children with intractable constipation after low anorectal anomaly surgery.
  • Early diagnosis and surgical management (pouch excision) are crucial.
  • This approach can significantly improve patient outcomes.

Keywords:
Congenital pouch colonanorectal malformationconstipationmega rectum

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