Colonic stenosis in neonates is not always congenital or complication of necrotizing enterocolitis
DOI:
https://doi.org/10.52783/jns.v9.524Keywords:
Stenosis, Colon, Atresia, Hirschsprung diseaseAbstract
Background: Bowel obstruction in early infancy may results from variety of congenital anomalies involving small and large bowel. Colonic stenosis (CS) congenital or acquired is among the rare causes of chronic bowel obstructions in early infancy.
Methods: Medical record of 4 patients with colonic stenosis secondary to Hirschsprung’s disease was reviewed.
Results: A total of 4 cases were included in the study. Age of presentation ranged from 25 days to 96 days. Most common presentation was gross abdominal distension with visible bowel loop, vomiting, difficulty in passing stool followed by history of passing recurrent loose stools and failure to thrive. In one case there was suspicion of bowel perforation and was operated in emergency. Initial operative findings and histopathology was not suggestive of Hirschsprung’s Disease, but a full thickness rectal biopsy confirmed HD in all 4 cases.
Conclusion: Hirschsprung should be considered as underlying pathology in cases of colonic stricture/stenosis in children.
Downloads
Metrics
References
Etensel B, Temir G, Karkiner A, Melek M, Edirne Y, Karaca I, et al. Atresia of the colon. J Pediatr Surg. 2005; 40:1258-68.
Keith TO, Arca MJ. Atresia, stenosis, and other obstruction of the colon. In: Grosfeld JL, O’Neill JA Jr, Coran AG, Fonkalsrud EW, eds. Pediatric Surgery. 6th ed. Philadelphia: Mosby; 2006; 1493-1500.
Elisa Z, Cinzia C, Sergio S, Giuseppe LV, Fortunato S. Multiple congenital colonic stenosis: A rare gastrointestinal malformation. Case Rep Pediatr. 2016: https://doi.org/10.1155/2016/6329793.
Galván-Montaño A, Suárez-RoaMde L, Carmona-Moreno E. Congenital stenosis of the colon with foreign bodies. Case report. Cir. 2010; 78:259-61.
Powell RW, Raffensperger JG. Congenital colonic atresia. J Pediatr Surg. 1982; 17:166-70.
Abu-Judeh HH, Methratta S, Ybasco A, Garrow E, Ali S. Congenital colonic stenosis South Med J. 2001; 94:344-6.
Lim IIP, Durbin J, Tomita S. Colonic stenosis in infant with connective tissue disorder. J Ped Surg Case Rep. 2013: 1:340-2.
Ruggeri G, Libri M, Gargano T, Pavia S, Pasini L, Tani G, et al. Congenital colonic stenosis: a case of late-onset. Pediatr Med Chir. 2009; 31:130e3
Erskine JM. Colonic stenosis in the newborn: The possible thromboembolic etiology of intestinal stenosis and atresia. J Pediatr Surg. 1970; 5:321-33.
Mirza B, Iqbal S, Ijaz L. Colonic atresia and stenosis: Our experience. J Neonatal Surg. 2012; 1:4.
Marseglia L, Manti S, D’Angelo G, Lima M, Impellizzeri P, Romeo C, et al. Colonic stenosis post-necrotizing enterocolitis in term new-born with acquired cytomegalovirus infection. Chirurgia (Bucur). 2015; 110:175–8.
Pelizzo G, Nakib G, Goruppi I, Fusillo M, Scorletti F, Mencherini S, et al. Isolated colon ischemia with norovirus infection in preterm babies: a case series. J Med Case Rep. 2013; 7:108.
Hamid R, Ali I, Bhat N, Baba AA, Mufti G, et al. Management od congenital colonic stenosis. J Neonatal Biol. 2015; 4:166.
Mizuno M, Kato T, Hebiguchi T, Yoshino H. Congenital membranous colonic stenosis-case report of an extremely rare anomaly. J Pediatr Surg. 2003; 38:13-5.
Kim CW, Superina RA, Ein S. Colonic atresia combined with Hirschsprung's disease: a diagnostic and therapeutic challenge. J Pediatr Surg. 1995; 30:1216-7.
Williams MD, Burrington JD. Hirschsprung's disease complicating colonic atresia. J Pediatr Surg. 1993; 28:637-9.
Sharma SB, Gupta V, Sharma V. Hirschsprung's disease complicating colonic atresia. Indian J Pediatr. 2004; 71:445-6.
Hamid R, Shera AH, Bhat NA, Baba A, Rashid A. Congenital descending colonic stenosis with perforation of transverse colon in a neonate: A case report. J Nepal Paediatr Soc. 2012; 32:73-5.
Ekenze SO, Ezomike UO, Nwachukwu IE. Chronic bowel obstruction from colonic stenosis in early infancy-A report of two cases. Malawi Med J. 2019; 31:82-5.
Bharti LK, Kumar B, Upadhyaya VD, Rao RN, Kumar S. Unusual presentation of congenital stenosis of sigmoid colon: Case report. J Surg Tech Proced. 2017; 1:1002.
Published
Versions
- 2020-07-29 (2)
- 2020-07-21 (1)
How to Cite
Issue
Section
License
Copyright (c) 2020 Vijai Datta Upadhyaya, Ashwani Mishra, Yusuf Md, Basant Kumar
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.
