Abstract
Congenital pouch colon (CPC) is a rare malformation in which the distal part of a
shortened colon forms a dilated pouch. It is associated with an anorectal malformation.
We report 2 patients with CPC, one with a cloaca and one with vestibular fistula and
vaginal atresia. It is the first description of CPC, vestibular fistula, and vaginal
atresia. The purpose of this report was to demonstrate that the pouch can be split
longitudinally—in analogy with Bianchi's intestinal lengthening procedure [Bianchi
A. Intestinal loop lengthening: a technique for increasing small intestinal length.
J Pediatr Surg 1980;15:145-51]—to create a vagina and to reconstruct the anorectum
with preserved blood supply.
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References
- The embryology and management of congenital pouch colon associated with anorectal agenesis.J Pediatr Surg. 1994; 29: 439-446
- Congenital short colon.World J Surg. 1996; 20: 107-114
- Congenital pouch colon associated with anorectal agenesis.Pediatr Surg Int. 2004; 20: 393-401
- Congenital pouch colon revisited.J Pediatr Surg. 1998; 33: 1510-1515
- Congenital pouch colon: massive redilatation of the tubularized colonic pouch after pull-through surgery.J Pediatr Surg. 2002; 37: 1376-1379
- Surgical management of cloacal malformations: a review of 339 patients.J Pediatr Surg. 2004; 39: 470-479
- Intestinal loop lengthening: a technique for increasing small intestinal length.J Pediatr Surg. 1980; 15: 145-151
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© 2006 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
