A Case of a Girl With Congenital Pouch Colon

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  • Congenital pouch colon の1女児例
  • Congenital pouch colon ノ 1 ジョジレイ

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Abstract

Congenital pouch colon (CPC) is rarely reported, although most cases have been found in northern India. A Japanese female infant was diagnosed with anorectal malformation (ARM) after birth. The type of ARM was unknown due to labia minora adhesion. Abdominal X-ray revealed a significantly dilated colon. Colostomy was performed at the oral side of the transverse colon. Incision of the labia minora revealed a small fistula that was slightly behind the vagina duplex. Contrast fistulogram showed a long fistula leading to the dilated colon, and which was subsequently identified as a rectovestibular fistula. At 8 months of age, laparoscopy-assisted anorectoplasty was done. The dilated rectum was located on the ventral side without approaching the levator ani. The dilated rectum opened into the fistula, which in turn opened into the vestibulum between the vagina duplex. The dilated colon and the fistula were resected before the oral side colon was pulled through and complemented with anoplasty.

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