Colostomy prolapse and hernia following window colostomy in congenital pouch colon

Pediatric Surgery International
A K Singal, V Bhatnagar

Abstract

Congenital pouch colon, a variant of anorectal malformation, is a rare anomaly with a high incidence in North India and although the anatomy and diagnostic features have been well described, the surgical treatment continues to be challenging. This report describes the complications following a less preferred but often practised surgical option-a temporizing window colostomy in three babies. A window colostomy predisposes to prolapse of the entire pouch colon with herniation of bowel loops, intestinal obstruction and failure to thrive. Depending on the state of the child, either a proximal diverting stoma or tubularization of the pouch with a terminal stoma is recommended as the procedure of choice for the initial surgical management of this complex and rare malformation.

References

Jan 1, 1996·World Journal of Surgery·A K WakhluS N Kureel
Apr 24, 2004·Pediatric Surgery International·Rajiv Chadha
Dec 23, 2004·Pediatric Surgery International·K L N Rao, Prema Menon

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Citations

Aug 7, 2010·Pediatric Radiology·Praveen MathurAmulya K Saxena
Jul 27, 2011·Pediatric Surgery International·Billur DemirogullariNuri Kale
May 13, 2009·Journal of Pediatric Surgery·Praveen MathurAnita Simlot

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