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Kumar, Parveen, Jain, Rishabh, Khatri, Arti. (1398). A Rare case of Type 4 Congenital Pouch colon without fistula with external anal marking in a female subject. سامانه مدیریت نشریات علمی, 7(3), 1-3.
Parveen Kumar; Rishabh Jain; Arti Khatri. "A Rare case of Type 4 Congenital Pouch colon without fistula with external anal marking in a female subject". سامانه مدیریت نشریات علمی, 7, 3, 1398, 1-3.
Kumar, Parveen, Jain, Rishabh, Khatri, Arti. (1398). 'A Rare case of Type 4 Congenital Pouch colon without fistula with external anal marking in a female subject', سامانه مدیریت نشریات علمی, 7(3), pp. 1-3.
Kumar, Parveen, Jain, Rishabh, Khatri, Arti. A Rare case of Type 4 Congenital Pouch colon without fistula with external anal marking in a female subject. سامانه مدیریت نشریات علمی, 1398; 7(3): 1-3.

A Rare case of Type 4 Congenital Pouch colon without fistula with external anal marking in a female subject

Iranian Journal of Colorectal Research
مقاله 6، دوره 7، شماره 3، آذر 2019، صفحه 1-3    اصل مقاله (1.35 M)
نوع مقاله: Case Report
نویسندگان
Parveen Kumar* 1؛ Rishabh Jain2؛ Arti Khatri3
1Assistant Professor, Pediatric Surgery department, CNBC, New-delhi, India
2DNB Resident, Pediatric surgery department, CNBC, New Delhi, India
3Assistant Professor, Pathology department, CNBC, New-delhi, India
چکیده
CPC is a rare reginal variant as per international Krickenbeck classification, in which colon (partly or
complete) is replaced by a pouch like dilatation, opening into urogenital tract via a large fistula. Theassociation of CPC without a fistula with ARM is very rare.
Type I: Absent large colon, with ileum opening directly into pouch.
Type II: The presence of short segment of caecum which then opens into pouch.
Type III: The presence of good length of colon between ileum and pouch.
Type IV: The presence of large colon with only sigmoid and rectum converted into pouch
A 2-day-old female baby presented with radiological features of pouch colon, which intra-operatively revealed type 4 CPC without fistula. The vestibule had two normal openings, with an external anal marking in perineum with puckering of skin but without any caliber. She underwent excision of pouch with end stoma and awaiting abdomino-perineal pull through at 6 months of age. To best of our knowledge, there is no case reported of CPC without fistula with external anal marking and puckering.
کلیدواژه‌ها
CPC (Congenital Pouch colon)؛ ARM (Anorectal malformation)؛ fistula
مراجع
  1.     Narsimha Rao KL, Yadav K, Mitra SK, et al. Congenital short colon with imperforate anus (congenital pouch colon syndrome). Ann Pediatr Surg 1984;1:159.
2. Chadha R, Khan NA, Shah S, Pant N, Gupta A, Choudhury SR, et al. Congenital pouch colon in girls: Genitourinary abnormalities and their management. Journal of Indian Association of Pediatric Surgeons. 2015 Jul;20(3):105.

3. Chadha R, Choudhury SR, Pant N, Jain V, Puri A, Acharya H, et al. The anomalous clinical anatomy of congenital pouch colon in girls. Journal of pediatric surgery. 2011 Aug 1;46(8):1593-602.  

4.  Udawat H, Nunia V, Mathur P, Udawat HP, Gaur KL, Saxena AK, Mohan MK. Histopathological and immunohistochemical findings in congenital pouch colon: A prospective study. Pathobiology. 2017;84(4):202-9.

5.  Gangopadhyay AN, Patne SC, Pandey A, Aryya NC, Upadhyaya VD: Congenital pouch colon     associated with anorectal malformation – histopathologic evaluation. J Pediatr Surg 2009; 44: 600–606

6. Ghritlaharey RK, Budhwani KS. Two-staged management for all types of congenital pouch colon. African Journal of Paediatric Surgery. 2013 Jan 1;10(1):17.

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