Acta Pediátrica de México

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>Journals >Acta Pediátrica de México >Year 2013, Issue 3

de la Torre-Mondragón L, Santos-Jasso KA, Palestina-Carro O, Ruíz-Montañez A
Colon pouch syndrome. In the spectrum of the anorectal malformations
Acta Pediatr Mex 2013; 34 (3)

Language: Español
References: 34
Page: 132-140
PDF: 299.55 Kb.

Full text


Congenital colon pouch syndrome, is an infrequent clinical condition in which the colon is totally o partially replaced by a cystic dilatation, and is associated with an anorectal malformation; which may be a urinary tract fistula, a vaginal or vestibule fistula, or a cul-de-sac. We present a rare variant of the anorrectal malformation, with two cases of colon pouch types II and III respectively. The diagnosis was suspected in a plain X-ray and on a distal colostogram. It was confirmed during surgery. The controversial aspects of surgical options are discussed, and emphasis is made on the importance of the follow-up of patients with anorectal malformations, including the need for bowel rehabilitation.

Key words: Anorectal malformation, congenital colon pouch, colostogram, bowel rehabilitation.


  1. Chadha R, Bagga D, Mahajan JK, Gupta S. Congenital Pouch Colon Revisited. J Ped Surg. 1998;33:1510-5.

  2. Salem Ahmed H. Unusual varients of congenital pouch colon with anorectal malformations. J Pediatr Surg. 2008; 43:2096-8.

  3. Baeza HC, Sanjuán FH, García CL, Nájera GH, Godoy EA. Dilatación segmentaria del colon. Gac Méd Méx. 2003;139:409-11.

  4. Chadha Rajiv. Congenital pouch colon associated with anorectal agenesis. Pediatr Surg Int. 2004;20:393-401.

  5. Demirogullari B, Ozen IO, Afsarlar C, Moralioglu S, Poyraz A, Sonmez K, Kale N, Basaklar AC. Congenital pouch colon associated with anorectal malformation: report of 2 cases. J Pediatr Surg. 2007;42:13-6.

  6. Trusler GA, Mestel AL, Stephens CA. Colon malformation with imperforate anus. Surgery. 1959;45(2):328-34.

  7. Chadha R, Agarwal K, Choudhury SR, Ranjan DP. The colovesical fistula in congenital pouch colon: a histology study. J Pediatr Surg. 2008;43:2048-52.

  8. Agarwal K, Chadha R, Ahluwali C, Debnath PR, Sharma A, Choudhury SR. The histopathology of Congenital Pouch Colon Associated with Anorectal agenesis. Eur J Pediatr Surg. 2005;15:102-6.

  9. Ghritlaharey RK, Budhwani KS, Shrivastava DK, Gupta G, Kushwaha AS, Chanchlani R, et al. Experience with 40 cases of congenital pouch colon. J Indian Assoc Pediatr Surg. 2007;12:13-6.

  10. Chadra SV, Shekhar AC, Koirala R, Khaniya S, Poudel P, Adhikary S. A report of rare congenital malformation in a Nepalese child with congenital pouch colon: a case report. Cases J. 2009;2:6424.

  11. Donkol RH, Kumar JN, Al Mazkary MJ. Congenital pouch colon syndrome in a Saudi Arabian neonate. J Pediatr Surg. 2008;43: E9-E11.

  12. Gupta DK, Sharma S. Congenital Pouch Colon- Then and now. J Indian Assoc Pediatr Surg. 2007;12:5-12.

  13. Sarin YK, Nagdeve NG, Sengar M. Congenital pouch colon in female subjects. J Indian Assoc Pediatric Surg. 2007;12:17-21.

  14. Tyagi P, Mandal MB, Mandal S, Patne SCU, Gangopadhyay AN. Pouch colon associate with anorrectal malformation fails to show spontaneous contractions but responds to acetylcholine and histamine in vitro. J Pediatr Surg. 2009;44:2156-62.

  15. Ghritlaharey RK, Srivastava J. A single stage procedure of congenital pouch colon and its complications. A case report. J Clin Diag Res. 2011;5:114-6.

  16. Kazez A, Ozel K, Bakal U, Sarac M. Abdominotransanal approach to pouch colon associated with rectal atresia. J Pediatr Surg. 2009;44:E19-E21.

  17. Puri A, Chadha R, Choudhury SR, Garg A. Congenital pouch colon : follow-up and functional results after definitive surgery. J Pediatr Surg. 2006;41:1413-9.

  18. Chadha R, Gupta S, Tanwar US, Mahajan JK. Congenital pouch colon associated with segmental dilatation of the colon. J Pediatr Surg. 2001;36:1593-5.

  19. Chadha R, Gupta S, Mahajan JK, Bagga D, Kumar A. Congenital pouch colon in females. Pediatr Surg Int. 1999;15:336-42.

  20. Bangroo AK, Tiwari S, Khetri R, Sahni M. Congenital pouch colon with prune belly syndrome and megalourethra. Pediatr Surg Int. 2005;21:474-7.

  21. Wardhan H, Gangopadhyay GD, Singhal GD, Gopal SC. Imperforate anus with congenital short colon (pouch colon syndrome) Review or 18 cases. Pediatr Surg Int. 1990;5:124-6.

  22. Pavai A. Pillaro SD, Shanthakumari S, Sam CJ, Shylaja M, Sabarivinoth R. Congenital pouch colon: Increasing association with low anorrectal anomalies. J Indian Assoc Pediatr Surg. 2009;14:218-20.

  23. Wester T, LAckgren G, Christofferson R, Rintala R. The congenital pouch colon can be used for vaginal reconstruction by longitudinal splitting. J Pediatr Surg. 2006;41:E25-E28.

  24. Mathur P, Prabhu K, Jindal D. Unusual presentations of pouch colon. J Pediatr Surg. 2002;37:1351-3.

  25. Mathur P, Saxena AK, Bajaj M, Chandra T, Sharma NC, Simlot A, et al. Role of plain abdominal radiographs in predicting type of congenital pouch colon. Pediatr Radiol. 2010;40:1603-8.

  26. Maletha M, Kurel SN, Khan TR, Wakhlu. Study of pelvic floor and sphincter muscles in congenital pouch colon with the help of three-dimesional CT scan. Pediatr Surg Int. 2010;26:1211-5.

  27. Arestis NJ, Clarke C, Munro FD, Micallef C, Sullivan MJ. Congenital Pouch colon (CPC) Associated with anorectal agenesis: A case report and review of literature. Pediatr Develop Pathol. 2005;8:701-5.

  28. Chada R, Bagga D, Gupta S, Prasad A. Congenital Pouch Colon: Massive REdilatation of the Tubularized Colonic Pouch After Pull – Through Surgery. J Pediatr Surg. 2002;37:1376-9.

  29. Saxena AK, Mathur P. Classification of congenital pouch colon based on anatomic morphology. Int J Colorectal Dis. 2008;23: 635-9.

  30. Gangopadhyay AN, Pandey A, Rastogi N, Mandal MB, Gopal SC, Gupta DK, et al. A study of the functional aberration of the pouch in anorrectal malformation associated with congenital pouch colon. The Association of Coloproctology of Great Britain and Ireland. Colorect Dis. 2010;12:226-31.

  31. Singal AK, Bhatnagar V. Colostomy prolapse and hernia following window colostomy in congenital pouch colon. Pediatr Surg Int. 2006;22:459-61.

  32. Rao KL, Menon P. Congenital Pouch colon associate with anorrectal agenesis (pouch colon syndrome). Pediatr Surg Int. 2005;21:125-6.

  33. Bhat NA. Congenital pouch colon syndrome: A report of 17 cases. Ann Saudi Med. 2007;27:79-83

  34. Mathur P, Saxena AK, Simlot A. Management of congenital pouch colon based on the Saxena – Mathur classification. J Pediatr Surg. 2009;44:962-6.

>Journals >Acta Pediátrica de México >Year 2013, Issue 3

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