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>Journals >Acta Pediátrica de México >Year 2007, Issue 2


Ponce-Rosas A, Ávila-Zaragoza LM, Jiménez-Urueta PS, Castañeda-Ortiz RA
Atresia congénita de colon: diagnóstico radiológico
Acta Pediatr Mex 2007; 28 (2)

Language: Español
References: 6
Page: 87-89
PDF: 121.19 Kb.


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ABSTRACT

Introduction. Intestinal atresia is the most common cause of complete obstruction in newborns; it is present in 1 of 15 to 20 thousand born alive children. Anomalies of the small intestine constitute 95% of the cases. Colon atresia is a rare condition. Diagnosis must be done with colon by enema.
Case report. Newborn boy with a history of polyhydraminios who presented with gastrobilliar vomit the first day of life; abdominal distension and intestinal loop drawings. Abdomen X ray showed bowel loops distension, diminished air-fluid levels and distal pneumatization. A colon by enema showed a microcolon and obstruction in the hepatic angle. A laparotomy confirmed colon atresia in the splenic angle with a mesenteric “V” shape defect.
Discussion. A history of polyhydramnios should lead to suspect intestinal malformations; gastrobilliar vomit suggests an intestinal obstruction usually of the small intestine. Radiologic images confirm the diagnosis; the colon by enema is the only study that shows the obstruction.


Key words: Intestinal obstruction, microcolon, intestinal atresia, colon by enema.


REFERENCIAS

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  3. Karnak I, Ciftci AO, Senocak ME, Tanuel FC, Buyukpamukcu N. Colonic atresia. Surgical management and outcome. Pediatr Surg Inter 2001;17:631-5.

  4. Misumo M, Kato T, Hebiguchi T, Yoshino H. Congenital membranous colonic stenosis. Case report of an extremely rare anomaly. J Ped Surg 2003;38:E13-E15.

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>Journals >Acta Pediátrica de México >Year 2007, Issue 2
 

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