title: Application of the Malone antegrade continence enema principle in degenerative leiomyopathy.
abstract: An 1-year-old boy with degenerative leiomyopathy (DL) presented with a volvulus of the transverse colon. After derotating the volvulus, we constructed a tube colostomy (TC) from the transverse colon. This TC has been used for the past 2 years by the patient for regular deflation of the colon and antegrade colonic enemas (ACE). We present this as a preliminary report of the use of the Malone ACE procedure in a patient with DL and review the relevant literature.
authors.affiliation: Eastern Cape Paediatric Surgery Service, East London, South Africa.
authors.forename: M
authors.initials: M
authors.lastname: Chitnis
authors.forename: S
authors.initials: S
authors.lastname: Chowdhary
authors.forename: C
authors.initials: C
authors.lastname: Lazarus
mesh_terms: D002648:Child; D003125:Colostomy; D004733:Enema / Q000379:methods*; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000628:therapy*; D008297:Male; D008531:Megacolon / Q000628:therapy*