Allert Tom, Schellerer Vera
Department of Pediatric Surgery, University Medicine Greifswald, Greifswald, Germany.
J Surg Case Rep. 2023 Jun 12;2023(6):rjad335. doi: 10.1093/jscr/rjad335. eCollection 2023 Jun.
Colonic atresia (CA) is a rare disease with an incidence range between one of 20 000 and one of 66 000 live births. Most CA are located within the proximal colon; distal CA are even rarer. Because of its rarity, another case shall be described herewith. A 37th week of pregnancy born child was noticed occurring multiple vomiting, a distended abdomen and additional whitish-bloody stool shortly thereafter. In the first operation, a double-barrel stoma was created. After sufficient weight gain and alignment of the stoma ends, a secondary anastomosis was created in the child after 2 months. The diagnosis can be made reliably on the basis of an X-ray and leads to a good outcome with prompt surgical intervention. However, accompanying malformations should always be considered.
结肠闭锁（CA）是一种罕见疾病，发病率在每20000至66000例活产婴儿中有1例。大多数CA位于近端结肠；远端CA更为罕见。由于其罕见性，现将另一病例予以描述。一名孕37周出生的婴儿出生后不久即出现多次呕吐、腹部膨隆及伴有白色血性粪便。首次手术时行双腔造口术。在患儿体重充分增加且造口两端对齐后，2个月后进行了二期吻合术。根据X线检查可可靠地做出诊断，及时的手术干预可带来良好预后。然而，始终应考虑合并的畸形情况。
