Feasibility of primary anastomosis for right-sided colonic atresia: A case report
Keywords:Colonic atresia, Primary anastomosis, Neonate
Background: Colonic atresia (CA) is a rare cause of congenital intestinal obstruction. The management of CA is challenging because of its rarity.
Case Presentation: We present a case of right-sided CA in a term male baby weighing 3006 gm, without any other comorbidity. Type 1 atresia was seen at ascending colon and upon decompression, a reasonable caliber was achieved for a primary anastomosis following distal Cheatle slit and proximal tapering. Postoperative recovery was uneventful.
Conclusion: Primary anastomosis is a feasible option in right-sided CA when no major comorbidity is present and a normal distal colon with reasonable caliber is certain.
Wester T. Colonic and rectal atresias. Newborn Surgery, Second Ed. 2003;457–64.
El-Asmar KM, Abdel-Latif M, El-Kassaby A-HA, Soliman MH, El-Behery MM. Colonic atresia: Association with other Anomalies. J Neonatal Surg. 2016; 5:47.
Cox SG, Numanoglu A, Millar AJW, Rode H. Colonic atresia: Spectrum of presentation and pitfalls in management. A review of 14 cases. Pediatr Surg Int. 2005; 21:813–8.
Dassinger M, Jackson R, Smith S. Management of colonic atresia with primary resection and anastomosis. Pediatr Surg Int. 2009; 25:579–82.
Gobran TA, Khalifa M, Kamal RMK. Different varieties of colonic atresia in a series of 13 patients: A single-center experience. Ann Pediatr Surg. 2013; 9:20–4.
Tripathy P, Jena P, Mohanty H. Clinical pattern of colonic atresia, management, and outcome in an Indian tertiary Care Center. J Clin Neonatol. 2020; 9:63.
Halder P, Kumar R, Mandal KC, Mondal G, Debnath B, Mukhopadhyay B, et al. A Clinico-pathological study of colo-rectal atresia. Pediatr Health Res. 2017; 2:1–6.
Montenegro Pinzon DA, Aragon Lopez SA, Valero Halaby JJ. Colonic atresia in a newborn. Case Report. Case Rep. 2018; 4:69–74.
Haxhija EQ, Schalamon J. Management of isolated and associated colonic atresia. Pediatr Surg Int. 2011; 27:411–6.
Frischer JS, Azizkhan RG. Jejunoileal Atresia and Stenosis [Internet]. 7th ed. Pediatric Surgery. Elsevier Inc.; 2012. 1059–1071 p. Available from: http://dx.doi.org/10.1016/B978-0-323-07255-7.00082-9.
Mansoor H, Kanwal N, Shaukat M. Atresia of the ascending colon: a rarity. APSP J Case Rep. 2010; 1:3.
Mirza B, Iqbal S, Ijaz L. Colonic atresia and stenosis: our experience. J Neonatal Surg. 2012; 1:4.
Saha H, Ghosh D, Ghosh T, Burman S, Saha K. Demographic study and management of colonic atresia: Single-center experience with review of the literature. J Indian Assoc Pediatr Surg. 2018; 23:206–11.
Hassan M. Type III wide colonic atresia: An etiological introspection. J Neonatal Surg. 2021; 10:39.
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