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Published on: October 29, 2014

Congenital stenosis of the colon with foreign bodies. Case report

Alfonso Galván-Montaño1, María de Lourdes Suárez-Roa, Erika Carmona-Moreno

  • 1Hospital General "Manuel Gea González," México, D. F., Mexico. gamagq3@hotmail.com

Cirugia Y Cirujanos
|July 21, 2010
PubMed

Insights

Congenital colonic stenosis is a rare pediatric condition. This case highlights a unique instance involving foreign bodies, emphasizing the need for thorough diagnosis and surgical intervention.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Congenital colonic stenosis is a rare condition affecting approximately 1 in 40,000 births.
  • The ascending and transverse colon are the most frequently impacted sites, with symptoms potentially manifesting at birth.

Observation:

  • A 2-year, 11-month-old male presented with lifelong constipation, abdominal pain, and distension.
  • Abdominal X-rays revealed a dilated colon and foreign bodies; barium enema was normal.
  • Surgical resection of the stenotic segment and foreign body removal were performed, restoring alimentary continuity via end-to-end anastomosis.

Findings:

  • Histopathological examination confirmed ganglion cells throughout the resected specimen, ruling out Hirschsprung's disease.
  • The patient experienced a favorable postoperative recovery and remained in good health for two years.
  • This case is unique as it is the first reported instance of congenital colonic stenosis associated with foreign bodies.

Implications:

  • Congenital colonic stenosis diagnosis can be challenging due to intermittent symptom remission.
  • Barium enema and colonoscopy are crucial diagnostic tools.
  • Surgical resection with anastomosis or colostomy is the primary treatment; laparoscopy offers an alternative approach.
Abstract

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