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Multiple Congenital Colonic Stenosis: A Rare Gastrointestinal Malformation

Zambaiti Elisa1, Chiaramonte Cinzia1, Salerno Sergio2

  • 1Pediatric Surgical Unit, Department of Mother and Child Care, AOU Policlinico Paolo Giaccone, Via Giordano 3, 90127 Palermo, Italy.

Case Reports in Pediatrics
|April 12, 2016
PubMed

Insights

Multiple congenital colonic stenosis, a rare condition, was diagnosed in a 2-month-old male. The case highlights a novel surgical approach for preserving bowel length in this unique pediatric presentation.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Genetics

Background:

  • Congenital colonic stenosis is a rare pediatric condition, with fewer than 20 cases reported since 1968.
  • Multiple congenital colonic stenosis has not been previously documented in medical literature.

Purpose of the Study:

  • To report the first known case of multiple congenital colonic stenosis in a pediatric patient.
  • To describe the diagnostic and surgical management of this rare condition.
  • To propose an optimal surgical strategy for preserving bowel length.

Main Methods:

  • Case report of a 2-month-old male infant presenting with abdominal distension.
  • Diagnostic workup included enema examination revealing multiple colonic stenotic segments.
  • Surgical intervention involved a two-stage procedure: initial resection with colostomy, followed by colocolostomy and enteroplasty.

Main Results:

  • Intraoperative findings confirmed four types of colonic atresia and appendix atresia.
  • Histopathological examination verified the diagnosis of colonic stenosis.
  • The two-stage surgical approach facilitated bowel length preservation.

Conclusions:

  • Multiple congenital colonic stenosis is a distinct entity requiring tailored surgical management.
  • A staged surgical approach with initial decompression and later anastomosis is recommended for optimal outcomes.
  • This case expands the understanding of congenital colonic anomalies and their surgical treatment.

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