[Congenital colonic atresia. Surgery correction in one or two stages?].
Sigmoid atresia is rare, the recognzed prevalence is 1 per 15.000 to 60.000 live born. We present a 30 hours old boy with vomiting, abdominal distension and failure to pass meconium. Physical examination showed severe abdominal distension. An enema was performed and a gray mucus plug taken out. The abdominal plain XR showed bowel obstruction and in a barium enema only 5-7 cm of microcolon was seen. With the diagnosis of sigmoid atresia the patient underwent surgery, observing one atresia type I, with dilated proximal loop and distal microcolon. A colostomy was performed and few days later one end-to-end anastomosis was made.
Sanjuán Rodríguez
S
S
Servicio de Cirugía Pediátrica, Hospital Universitario Materno-Infantil, Badajoz. s.sanjuan@terra.es
Moreno Hurtado
C
C
Santamaría Ossório
J I
JI
D001006:Anus, Imperforate / Q000000981:diagnostic imaging* / Q000601:surgery*; D003125:Colostomy / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011859:Radiography