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Bhusal A, Pokhrel S, Sah RP. Congenital pouch colon in a male neonate. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2023. [DOI: 10.1016/j.epsc.2023.102607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/13/2023] Open
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Qafisheh Q, Zaolloum J, Hussein A, Yahya RM, Abuzneid YS, Ghazzawi I, Karsh RA. Congenital pouch colon: Case report and literature review. Ann Med Surg (Lond) 2022; 82:104603. [PMID: 36268354 PMCID: PMC9577488 DOI: 10.1016/j.amsu.2022.104603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 09/02/2022] [Accepted: 09/04/2022] [Indexed: 11/19/2022] Open
Abstract
Background Case presentation Clinical discussion Conclusion Congenital pouch colon (CPC) when colon is either completely or partially replaced by a pouch. When there is anorectal malformation you should suspect CPC. Partial CPC is more common but complete pouch is more dangerous. When CPC is diagnosed, check for associated, renal, cardiac and skeletal anomalies.
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Affiliation(s)
- Qutaiba Qafisheh
- Al-Quds University Faculty of Medicine, Palestine
- Corresponding author. Al-Quds University, Main Campus, Abu Dis, P.O. Box 89, Palestine.
| | | | | | | | | | - Ihasn Ghazzawi
- Palestine Red Crescent Society Hospital, Hebron, Palestine
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Gupta SK, Pandey A, Kumar P, Srivastava S, Singh S, Rawat J. Evaluation and management of rectovaginal fistula in anorectal malformation: an observational study. Pediatr Surg Int 2021; 37:1601-1606. [PMID: 34286379 DOI: 10.1007/s00383-021-04970-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/17/2021] [Indexed: 02/05/2023]
Abstract
PURPOSE The rectovaginal fistula (RVF) is a type of female ARM in which the rectum terminates in the vagina. Due to its rarity, there are limited reports on its presentation, management, and follow-up. This paper deals with the clinical presentation, management, and outcome of RVF. METHODS It was a retrospective cohort study of 10 years. The patients were evaluated for age, clinical presentation, associated anomalies, any prior surgical interventions performed elsewhere, and complications. After workup, the patients underwent three stages of surgery. RESULTS Fifty-six patients of RVF were managed. The median age was 13.48 months. The associated anomalies were present in 37 (66%) patients. Posterosagittal and anterosagittal anorectoplasty (PSARP and ASARP) were performed in 29 and 6 patients, respectively. Abdominoperineal pull-through (APPT) was performed in 16 patients of congenital pouch colon. The complications of the first stage included stomal stenosis (4) and stomal prolapse (3). Constipation was present in 39 patients 2 years after the third surgery. CONCLUSIONS RVF is a distinct entity, which needs careful clinical examination. With proper planning for diagnosis and treatment, it can be managed at specialized centers. Care may be needed for the associated anomalies. The follow-up is an integral part of its management.
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Affiliation(s)
- Survesh Kumar Gupta
- Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, 226003, India
| | - Anand Pandey
- Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, 226003, India.
| | - Piyush Kumar
- Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, 226003, India
| | - Saurabh Srivastava
- Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, 226003, India
| | - Sudhir Singh
- Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, 226003, India
| | - Jiledar Rawat
- Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, 226003, India
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Mathur P, Medicherla KM, Chaudhary S, Patel M, Bagali P, Suravajhala P. Whole exome sequencing reveals rare variants linked to congenital pouch colon. Sci Rep 2018; 8:6646. [PMID: 29703930 PMCID: PMC5923232 DOI: 10.1038/s41598-018-24967-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2017] [Accepted: 04/05/2018] [Indexed: 01/07/2023] Open
Abstract
We demonstrate the application of whole exome sequencing to discover the rare variants for congenital pouch colon, acronymed CPC. For 18 affected individuals in a total of 64 samples, we sequenced coding regions to a mean coverage of 100×. A sufficient depth of ca. 94% of targeted exomes was achieved. Filtering against the public SNP/variant repositories, we identified a host of candidate genes, EPB41L4A and CTC1 associated with colon, neural/brain muscles and Dyskeratosis Congenita maladies. Furthermore, the stop gain mutations in the form of JAG1,OR5AR1,SLC22A24,PEX16,TSPAN32,TAF1B,MAP2K3 and SLC25A19 appears to be localized to Chromosomes 2, 11, 17 and 20 in addition to the three stop lost mutants across three genes, viz. OAS2, GBA3 and PKD1L2 affecting the colon tissue. While our results have paved way for transcendence of monogenic traits in identifying the genes underlying rare genetic disorders, it will provide helpful clues for further investigating genetic factors associated with anorectal anomalies, particularly CPC.
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Affiliation(s)
- Praveen Mathur
- Department of Pediatric Surgery, SMS Medical College and Hospital, JLN Marg, Jaipur, 302004 RJ, India
| | - Krishna Mohan Medicherla
- Department of Biotechnology and Bioinformatics, Birla Institute of Scientific Research, Jaipur, 302001 RJ, India
| | - Spandan Chaudhary
- Division of Genomics, Bioinformatics and Diagnostics, Xcelris Labs Limited, Ahmedabad, India
| | - Mruduka Patel
- Division of Genomics, Bioinformatics and Diagnostics, Xcelris Labs Limited, Ahmedabad, India
| | - Prashanth Bagali
- Division of Genomics, Bioinformatics and Diagnostics, Xcelris Labs Limited, Ahmedabad, India
| | - Prashanth Suravajhala
- Department of Biotechnology and Bioinformatics, Birla Institute of Scientific Research, Jaipur, 302001 RJ, India.
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Angotti R, Salih QQM, Molinaro F, Ferrara F, Sica M, Bindi E, Messina M. Congenital pouch colon associated with anorectal malformation: A rare anomaly of Asian Region - experience of Kurdish centre. Afr J Paediatr Surg 2018; 15:10-15. [PMID: 30829302 PMCID: PMC6419541 DOI: 10.4103/ajps.ajps_84_16] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
BACKGROUND Congenital pouch colon (CPC) is an unusual malformation associated with anorectal malformations (ARMs) that are seen especially in Asia. The aim of this study was to analyse our series of CPC associated with ARM in our centre and report our experience based on the rarity of pathology. MATERIALS AND METHODS This is a retrospective study conducted at the Department of Paediatric Surgery in North Iraq. We identified patients from a prospectively kept database, including all patients managed between 1997 and 2014. RESULTS In total, 17 patients (3 females and 14 males) were included; all had CPC and high ARM; male:female ratio was 5.6:1. Two females had colo-vestibular fistula, 1 had a colo-cloacal fistula, all males had imperforate anus with colovesical fistula. Pre-operative diagnosis of CPC was made in eight patients (47%). Four patients (23.5%) had an incomplete pouch colon (Type III and IV), and 13 (76%) had complete pouch colon (Type I and II). All patients were managed with staged surgery. Mortality rate was 17.6% (3/17). CONCLUSIONS CPC associated with ARM can be defined as 'Asian' complex malformation. Few cases are reported in Literature from Europe and USA. However, it is known that it is ever more frequent the collaboration between Asian and European surgeons (as in our study), so the suspicion should be considered in all patient high ARM who come from Asian region. We reviewed literature and report our experience of 15 years, after a retrospectively analysis, to share it and add our data to their reported.
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Affiliation(s)
- Rossella Angotti
- Department of Medical, Surgical and Neurological Sciences, Division of Pediatric Surgery, University of Siena, Siena, Italy
| | | | - Francesco Molinaro
- Department of Medical, Surgical and Neurological Sciences, Division of Pediatric Surgery, University of Siena, Siena, Italy
| | - Francesco Ferrara
- Department of Medical, Surgical and Neurological Sciences, Division of Pediatric Surgery, University of Siena, Siena, Italy
| | - Marina Sica
- Department of Medical, Surgical and Neurological Sciences, Division of Pediatric Surgery, University of Siena, Siena, Italy
| | - Edoardo Bindi
- Department of Medical, Surgical and Neurological Sciences, Division of Pediatric Surgery, University of Siena, Siena, Italy
| | - Mario Messina
- Department of Medical, Surgical and Neurological Sciences, Division of Pediatric Surgery, University of Siena, Siena, Italy
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Singh S, Rawat JD, Kumar P. Congenital pouch colon: Our experience with coloplasty. Afr J Paediatr Surg 2018; 15:16-21. [PMID: 30829303 PMCID: PMC6419546 DOI: 10.4103/ajps.ajps_88_16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Congenital pouch colon (CPC) or congenital short colon is an entity found mainly in Indian subcontinent. In CPC, colon is replaced with partially or completely abnormal pouch connected to the genitourinary tract by a fistula (colovesical). Management protocol is different in different institute. In this article, we are sharing our three stage standard management approach; principle and technique of coloplasty in cases in which colon length is not adequate for pull through and their follow-up. This study aims to show the result of coloplasty in complete CPC. MATERIALS AND METHODS This is retrospective observational study, of 5 years duration. The medical record of these patients was reviewed for demographic information, clinical features, investigations performed, operative notes, post-operative events and the outcome of surgery. RESULTS Total of 626 ARM cases were managed in 5 years duration in which 64 were of pouch colon. The age of presentation was 1-15 days. In fifty patients who completed their, all stage in that 34 patients were in which coloplasty were done in rest of 16 cases excision of CPC and colonic pull through done in view of adequate colonic length (type III and IV) for pull through. In 34 patient in which coloplasty were done showed satisfactory cosmetic and functional out came after stoma closer in follow-up. CONCLUSIONS Properly created coloplasty and three stage procedure for complete pouch colon give better result and less complications. Excision of pouch is not requiring in all cases of CPC.
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Affiliation(s)
- Sudhir Singh
- Department of Paediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - J D Rawat
- Department of Paediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Piyush Kumar
- Department of Paediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India
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