Congenital pouch colon in a male neonate

Abstract

Introduction: Congenital pouch colon (CPC) is a congenital malformation of the large bowel in which the entire large bowel or segments of varying lengths of the large bowel exhibit enormous dilatations in the form of a pouch communicating distally through a fistula with the urogenital system. CPC shows male predominance and is mainly present in the early neonatal period with the absence of anus and intestinal obstruction. We report a case of Type 2 CPC in a 16-day-old male child presenting with abdominal distension and non-passing of stool. Presentation of the case: A 16-day-old male presented with his parents with abdominal distension and an imperforate anus. A plain abdominal X-ray revealed multiple dilated bowel loops. Exploratory laparotomy revealed a Type 2 CPC. The patient was treated via 2 staged surgery and his clinical condition was stable after surgery and is being followed in 3 monthly-basis. Clinical discussion: CPC is a rare condition with male predominance and is suspected in a patient with abdominal distension and an imperforate anus. Surgical management of CPC and the outcome, as well as overall prognosis, mainly depend on the type of CPC, the length of the affected colon, type of perineum, and anorectal muscle complexity, as well as other congenital associations. Conclusion: Though being a rare syndrome, CPC must be kept as a differential diagnosis for abdominal distension and must be taken into consideration when anorectal malformation is present.

Keywords

• Congenital pouch colon
• Anorectal malformation
• Abdominal distension
• Imperforate anus
• Case report