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Dolichocolon Presenting with Bilateral Hydronephrosis in a Neonate
Laura Gielen1,2, Anke Raaijmakers2,3, Bert De Groote2
1University of Antwerp, Department of Pediatrics, Antwerp, Belgium.
Case Reports in Pediatrics
|April 8, 2021
Summary
Infantile dolichocolon, a colon anomaly, can cause severe constipation and bilateral hydronephrosis in neonates. Early intervention with enemas and lactulose effectively treated both conditions in a reported case.
Area of Science:
- Pediatric Gastroenterology
- Neonatal Urology
Background:
- Dolichocolon is a congenital colon anomaly characterized by redundant segments.
- It typically presents with constipation or volvulus in older individuals.
- This is the first reported case of dolichocolon presenting in infancy.
Observation:
- A 19-day-old neonate presented with severe constipation and abdominal discomfort.
- The infant developed pyelonephritis, leading to the discovery of bilateral hydroureteronephrosis via ultrasound.
- A barium enema confirmed the diagnosis of dolichocolon.
Findings:
- Infantile dolichocolon can manifest with severe constipation.
- Constipation associated with dolichocolon can lead to obstructive nephropathy.
- Treatment with enemas and lactulose resolved both constipation and hydronephrosis.
Implications:
- Neonatal severe constipation warrants evaluation for underlying causes like dolichocolon.
- Untreated dolichocolon-induced constipation may cause serious renal complications.
- Monitoring urinary flow is crucial for neonates presenting with severe constipation.
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