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Congenital Pouch Colon in a Neonate
Sana Niaz1, Sahira Naz2, Rumaissa Abdul Raziq3
1Sana Niaz, MBBS, FCPS, Department of Neonatology, Indus Hospital & Health Network, Karachi, Pakistan.
Insights
Congenital Pouch Colon (CPC), a rare anorectal malformation, affects males more and is prevalent in South Asia. Early antenatal ultrasound diagnosis and surgical intervention are crucial for affected neonates.
Area of Science:
- Pediatric Surgery
- Neonatal Care
- Gastroenterology
Background:
- Congenital Pouch Colon (CPC) is a rare anorectal malformation characterized by a dilated, pouch-like colon.
- CPC predominantly affects males and has a higher incidence in South Asia, particularly India.
Observation:
- Antenatal ultrasound may reveal hypoechogenic lesions suggestive of CPC.
- A neonate presented with abdominal distension and failure to pass meconium, indicating a potential intestinal obstruction.
Findings:
- The neonate was diagnosed with Congenital Pouch Colon in the early neonatal period.
- Diagnosis was confirmed through clinical presentation and likely imaging findings.
Implications:
- Early diagnosis of CPC via antenatal scans is critical for timely management.
- Prompt surgical intervention is essential for improving outcomes in neonates with CPC.
Abstract:
Congenital Pouch Colon (CPC) is a rare anorectal malformation (ARM) in which a part of or the entire colon is replaced by pouch-like dilatation. Males are more likely to be diagnosed with the condition compared to females. The highest incidence of the disease is in South Asia, with a significant number of cases reported from India. Early diagnosis can be made when there are hypoechogenic lesions on antenatal ultrasound scans. We report a case of a neonate with routine antenatal scans who presented with a distended abdomen and inability to pass feces. The diagnosis was made in the early neonatal period, followed by surgical management.
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