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Congenital pouch colon associated with anorectal malformation: A rare anomaly of Asian Region - experience of Kurdish centre
- Source :
- African Journal of Paediatric Surgery: AJPS, African Journal of Paediatric Surgery, Vol 15, Iss 1, Pp 10-15 (2018)
- Publication Year :
- 2019
-
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.
- Subjects :
- Male
Radiography, Abdominal
medicine.medical_specialty
Colovesical fistula
Colon
Fistula
lcsh:Surgery
Pediatrics
03 medical and health sciences
0302 clinical medicine
Rare Diseases
030225 pediatrics
medicine
Humans
030212 general & internal medicine
Digestive System Surgical Procedures
Retrospective Studies
child
Paediatric surgery
business.industry
General surgery
Mortality rate
Incidence
lcsh:RJ1-570
Infant, Newborn
Infant
lcsh:Pediatrics
Retrospective cohort study
lcsh:RD1-811
Colonoscopy
Perinatology and Child Health
medicine.disease
Anorectal malformation
Anorectal Malformations
Staged surgery
Pediatrics, Perinatology and Child Health
Iraq
Surgery
Female
Original Article
congenital colon pouch
Pouch
Imperforate anus
business
Subjects
Details
- ISSN :
- 09745998
- Volume :
- 15
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- African journal of paediatric surgery : AJPS
- Accession number :
- edsair.doi.dedup.....0c01f010006b1b382d7e2bb3e169a4e4