General and Laparoscopic Surgery Fellow. Pontificia Universidad Católica del Ecuador. Ecuador.
Endocrinology Fellow. Alicante General University Hospital. Alicante (Spain).
Cir Pediatr. 2020 Jul 1;33(3):146-148.
Congenital pouch colon (CPC) is a rare malformation. It causes variable dilatation of the colon associated with anorectal malformation (ARM), usually presenting a fistula towards the genitourinary tract.
2-day-old female patient, with no relevant medical history. She had abdominal distension and imperforate anus. She underwent colostomy. She had an irregular evolution with high colostomy debits. Contrast imaging studies were performed, which demonstrated an erroneous exteriorization of the jejunal loop. She underwent an exploratory open surgery, which confirmed the previous diagnosis and incidentally found colonic agenesis, with ileum entering in a pouch of 6 cm of diameter that connects with the bladder.
CPC is a common pathology in certain eastern countries and extremely rare in western countries. In Ecuador, no records of reported cases were found. A correct pre-surgical analysis of ARM patients should be carried out to achieve an adequate planning and surgical approach, thus reducing morbidity and mortality.
先天性囊状结肠（CPC）是一种罕见的畸形。它会导致结肠的不同程度扩张，同时伴有肛门直肠畸形（ARM），通常在向泌尿生殖道方向会出现瘘管。
一名 2 天大的女性患者，无相关既往病史。她出现腹部膨隆和肛门闭锁。行结肠造口术。她的病情发展不规则，结肠造口处有较高的引流量。进行了对比成像研究，显示空肠回路出现错误的外置。进行了开放性探查手术，确认了之前的诊断，并意外发现结肠发育不全，回肠进入一个直径为 6 厘米的囊袋，与膀胱相通。
CPC 在某些东方国家是一种常见的病理，而在西方国家则极为罕见。在厄瓜多尔，没有报道病例的记录。应对 ARM 患者进行正确的术前分析，以实现充分的规划和手术方法，从而降低发病率和死亡率。
