medigraphic.com

2015, Number 2

<< Back Next >>

Rev Fac Med UNAM 2015; 58 (2)

Barium sulfate enterolith in a patient with anorectal malformation: Remarks on the appropriate distal colostogram

Martínez-Leo B, Portugal-Moreno VH, López-Medina P, Baeza-Herrera C

Language: Spanish
References: 11
Page: 41-43
PDF size: 288.34 Kb.


ABSTRACT

Case presentation: 2 year-old female patient with anorectal malformation with recto-vestibular fistula to whom a distal colostogram with barium sulfate was done, thus provoking lithic concretion in the distal sac. Since it was deemed impossible to extract the enterolith trough de distal stoma we decided to perform the anorectoplasty and extract the lit at that moment knowing the increased surgical risks such as infection, dehiscence and damage of adjacent structures. We stress the need to remind the radiological and pediatric medical communities to always perform this kind of imaging studies with water-soluble contrast agents and we also annotate the technique for doing so.


REFERENCES

  1. Salelkar RS. Enterolith with enterocolic fistula: the diagnostic approach. Saudi J Gastroenterol. 2011;17(6):418-20

  2. Gamblin TC, Glenn J, Herring D, et al. Bowel obstruction caused by a Meckel’s diverticulum enterolith: a case report and review of the literature. Surgery. 2003;60:63-4

  3. Monchal T, Hornez E, Bourgouin S, Sbardella F, Baudoin Y, Butin C, et al. Enterolith ileus due to jejunal diverticulosis. Am J Surg. 2010 Apr;199(4):e45-7. doi: 10.1016/j. amjsurg.2009.05.042

  4. Bischoff A, Levitt MA, Peña A. Update in the management of anorectal Malformations. Pediatr Surg Int. 2013;29:899-904.

  5. Rintala R, Lindahl H, Sariola H, et al. The rectourogenital connection in anorectal malformations is an ectopic anal canal. J Pediatr Surg. 1990;25:665-8.

  6. Cremin BJ, Cywes S, Louw JH. A rational radiological approach to the surgical correction of anorectal anomalies. Surgery. 1972;71:801-6

  7. Gross GW, Wolfson PJ, Peña A. Augmented-pressure colostogram in imperforate anus with fistula. Pediatr Radiol. 1991;21:560-2 Figura 4. Imagen de un colostograma distal con adecuada presión que muestra una fístula rectouretral. Tomada de: Peña A, Grasshoff S, Levitt MA. Reoperations in anorectal malformations. J Pediatr Surg. 2007;(42)2:318-25, con permiso de Elsevier, Limited.

  8. Taccone A, Martucciello G, Dodero P, Delliacqua A, Marzoli A, Salomone G, et al. New concepts in preoperative imaging of anorectal malformation. Pediatr Radiol. 1992;22:196-9

  9. Wang C, Lin J, Lim K. The use of augmented-pressure colostography in imperforate anus. Pediatr Surg Int. 1997;12:383-5

  10. Bekhit E, Murphy F, Puri P, Hutson JM. The Clinical Features and Diagnostic Guidelines for Identification of Anorectal Malformations. En: Holschneider AM, Hutson JM, editors. Anorectal Malformations in Children. Berlin Heidelberg: Springer-Verlag; 2006. p. 185-200.

  11. Chen MY, Whitlow CT. Scope of diagnostic imaging. En: Chen MYM, Pope TL, Ott DJ (eds.). Basic Radiology. 2nd ed. United States of America: The McGraw Hill Companies; 2011. p. 1-14.




2020     |     www.medigraphic.com