Colostomy prolapse and hernia following window colostomy in congenital pouch colon.
Congenital pouch colon, a variant of anorectal malformation, is a rare anomaly with a high incidence in North India and although the anatomy and diagnostic features have been well described, the surgical treatment continues to be challenging. This report describes the complications following a less preferred but often practised surgical option-a temporizing window colostomy in three babies. A window colostomy predisposes to prolapse of the entire pouch colon with herniation of bowel loops, intestinal obstruction and failure to thrive. Depending on the state of the child, either a proximal diverting stoma or tubularization of the pouch with a terminal stoma is recommended as the procedure of choice for the initial surgical management of this complex and rare malformation.
Singal
A K
AK
The Department of Pediatric Surgery, All India Institute of Medical Sciences, 110029 New Delhi, India. veereshwarb@hotmail.com
Bhatnagar
V
V
D003106:Colon / Q000002:abnormalities*; D003125:Colostomy / Q000009:adverse effects / Q000379:methods; D006547:Hernia / Q000209:etiology*; D006801:Humans; D007081:Ileostomy; D007223:Infant; D007412:Intestinal Fistula / Q000209:etiology; D008297:Male; D011391:Prolapse; D001747:Urinary Bladder Fistula / Q000209:etiology