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Delayed recognition of type 1 sigmoid-colon atresia: the perforated web variety

Ghulam Mustafa1, Bilal Mirza, Zahid Bashir

  • 1Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health Lahore, Pakistan.

APSP Journal of Case Reports
|September 7, 2012
PubMed

Insights

Colonic atresias, rare gastrointestinal malformations, can cause intestinal obstruction in infants. This case details a type I sigmoid colon atresia with a perforated mucosal web, successfully treated with surgical resection and anastomosis.

Area of Science:

  • Pediatric surgery
  • Gastrointestinal malformations
  • Congenital anomalies

Background:

  • Colonic atresias are uncommon congenital gastrointestinal malformations, accounting for 1.7–15% of all GI atresias.
  • Infantile intestinal obstruction necessitates prompt diagnosis and surgical intervention.

Observation:

  • A 6-month-old infant presented with a history of recurrent sub-acute intestinal obstruction since birth.
  • The patient exhibited clinical signs of complete intestinal obstruction during the current admission.

Findings:

  • Surgical exploration revealed a type I sigmoid colon atresia.
  • The atresia was characterized as a perforated mucosal web variant.

Implications:

  • Successful surgical management involved resection of the affected colon segment.
  • A primary end-to-oblique colo-colic anastomosis was performed, restoring intestinal continuity.
  • This case highlights the importance of recognizing and surgically addressing rare colonic atresias in infants.

Keywords:
Colonic atresiaColonic stenosisIntestinal obstructionPerforated colonic web

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