Rectal atresia with pouch colon without fistula in a female newborn– a rare association: A case report
DOI:
https://doi.org/10.46831/jpas.v2i1.102Keywords:
Atresia, Anorectal malformation, Congenital pouch colon, Rectal atresiaAbstract
Background: Rectal atresia is a rare variant of anorectal malformation (ARM). Pouch colon is an abnormal dilation of the colon distally connected by the fistula. Pouch colon without fistula is extremely rare.
Case Presentation: We report a case of unusual association of rectal atresia with pouch colon without fistula in a female newborn. At surgery, a type IV pouch colon was found which was resected and colostomy was done as the initial procedure.
Conclusion: Rectal atresia with congenital pouch colon without genitourinary fistula in a female child is an extremely rare association.
Downloads
Metrics
References
Dorairajan T (1988) Anorectal atresia. In: Stephens FD,Smith ED, Paul NW (eds) Anorectal Malformations in Children: Update 1988. Liss, New York, NY, pp 105–10.
Sharma S, Gupta DK. Management options of congenital pouch colon – A rare variant of anorectal malformation. Pediatr Surg Int. 2015; 31:753–8.
Gupta DK, Sharma S. Congenital pouch colon – Then and now. J Indian Assoc Pediatr Surg.2007; 12:5–12.
Singh A, Singh R, Singh A. Short colon malformation with imperforate anus. Acta Paediatr Scand.1977; 66:589–94.
Narsimha Rao KL, Yadav K, Mitra SK, Pathak IG. Congenital short colon with imperforate anus(CPC syndrome) Ann Pediatr Surg. 1984; 1:159.
Wardhan H, Gangopadhyay AN, Singhal GD, Gopal SC. Imperforate anus with congenital short colon (pouch colon syndrome): Review of 18 cases. Pediatr Surg Int. 1990; 5:124–6.
Maudar KK, Gandhi P, Varshney S, Budhwani KS,Ghritalaharey RK; Congenital Pouch Colon: Review Of Current Clinical And Molecular Studies; Journal Of Paediatric And Neonatal Care 2016; 5(9).
Mathur P, Saxena AK, Bajaj M, Chandra T, Sharma NC, Simlot A, et al. Role of plain abdominal radiographs in predicting type of congenital pouch colon. Pediatr Radiol 2010; 40:1603-8.
Pandey V, Panigrahi P, Kumar R. Congenital pouch colon without fistula:our experiences and lessons learned. Asian Journal of Health and Medical Research 2017; 3:1-2.
Chaturvedi V, Gupta R, Tuteja N, Barolia DK, Bal R. Congenital Pouch Colon without Fistula: A Rare Variant. Journal of Neonatal Surgery.2019; 8.4: 38.
Hamrick M, Eradi B, Bischoff A, Louden E, Peña A, LevittM.Rectal atresia and stenosis: unique anorectal malformations. J Pediatr Surg. 2012 Jun; 47(6):1280-4.
Gupta DK, Sharma S (2006) Rectal atresia and rectal ectasia. In: Hutson J, Holschneider A (eds) Anorectal malformations in children, chap 12, 1st edn. Springer, Heidelberg, pp 223–30.
Stephens FD, Durham-Smith E. Classification, identification, and assessment of surgical treatment of anorectal anomalies. Pediatr Surg Int. 1986; 1:200–5.
Levitt MA, Peña A. Anorectal malformations. Orphanet J Rare Dis. 2007; 2:33.
Gupta DK. Anorectal malformations – Wingspread To Krickenbeck. J Indian Assoc of Pediatr Surg. 2005; 10:75-7.
Mathur P, Prabhu K, Jindal D. Unusual presentations of pouch colon. J Pediatr Surg 2002; 37(9):1351-3.
Kazez A, Ozel SK, Bakal U, Sarac M. Abdominotransanal approach to pouch colon associated with rectal atresia. J Pediatr Surg 2009 Jun; 44(6):E19-21.
Parelkar S, Oak S, Mishra PK, Agrawal A, Joshi M, Beejal S, et al. Congenital pouch colon with rectal atresia: A case report. J Pediatr Surg 2010 Mar; 45(3):639-41.
Singh S, Ahmed I, Wakhlu A. A newer variant of congenital pouch colon with rectal agenesis: Management strategy and review of the literature. BMJ Case Rep 2011 Aug 31; 2011:bcr1220103635.
Mirza B, Saleem M. Congenital pouch colon with rectal atresia: A rare association. J Neonatal Surg 2016; 5:66.
Mathur P, Gupta R, Gupta PK. Congenital pouch colon with rectal atresia revisited.J Indian Assoc Pediatr Surg 2017; 22(2):119-121.
Tiwari C, Shah H, Desale J, Waghmare M. Congenital pouch colon with colovaginal fistula and rectal atresia in a female: An unusual presentation and literature review. Saudi Surg J 2016; 4:125-8.

Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Dr.Dinesh Kumar Barolia, Dr. Aditya Pratap Singh, Dr. Harsha Vinod Bathia, Dr. Vipal H Parmar, Dr. Bhavana Asit Mehta, Dr. Shraddha Mehta

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.