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CASE REPORT
Year : 2016  |  Volume : 4  |  Issue : 3  |  Page : 125-128

Congenital pouch colon with colovaginal fistula and rectal atresia in a female: An unusual presentation and literature review


Department of Paediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central, Mumbai, Maharashtra, India

Correspondence Address:
Hemanshi Shah
Department of Paediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central, Mumbai - 400 008, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2320-3846.194003

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Congenital pouch colon (CPC) is a pouch-like dilatation of the colon in cases of high anorectal malformation. It is common in males with male to female ratios ranging from 2.5:1 to 7:1 in various series. In females, CPC is usually associated with cloaca. Only four cases of CPC with rectal atresia (RA) are reported in literature, one being in a female child. We report a 5-day-old female neonate with urogenital sinus and RA who presented with pneumoperitoneum and sepsis. At exploration, she had Type I pouch with two large perforations, absent appendix, a large fistula to the vagina with a bicornuate uterus which was distended with gas and meconium.


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