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A case of congenital colonic stenosis presenting as rectal prolapse
Journal of Pediatric Surgery
|June 1, 1990
Insights
This case study details a 4-month-old girl with rectosigmoid junction colonic stenosis, presenting as rectal prolapse. Diagnosis was confirmed using plain x-ray and barium enema, with surgical management discussed.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Colonic stenosis at the rectosigmoid junction is a rare condition in infants.
- Rectal prolapse can be an unusual presenting symptom of lower intestinal obstruction.
Observation:
- A 4-month-old female infant presented with rectal prolapse.
- Clinical examination suggested a possible obstruction at the rectosigmoid junction.
Findings:
- Plain x-ray and barium enema imaging confirmed colonic stenosis at the rectosigmoid junction.
- The diagnostic imaging accurately identified the site and severity of the obstruction.
Implications:
- Early diagnosis and surgical intervention are crucial for managing pediatric colonic stenosis.
- This case highlights the importance of considering colonic stenosis in infants presenting with rectal prolapse.
Abstract:
A case of colonic stenosis at the rectosigmoid junction in a 4-month-old girl presented as prolapsed rectum and was diagnosed with the help of a plain x-ray and a barium enema. The clinical presentation and surgical management are detailed.