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TRANSCRIPT
~-oJ-~ %1:fr~ Colonic Web 1~1 .!i!.J1..
= Abstract =
Colonic Web Associatd with Imperforate Anus
SJN Choi, M.D., SY Chung, M.D., and SK Kim, M.D.
Division of Pediatric Surgery, Department of Surgery
Chonnam National University, Kwangju, Korea
Colonic atresia is the least common form of intestinal atresia. Colonic atresia, like jejunoileal atresia, mostly occurs as a result of an intrauterine vascular accident. According to Sutton's classification, type 1 colonic atresia exibits external continuity with an intraluminal diaphragm(colonic web) which may be imperforate or perforate. Authors experienced a case of colonic web associated with imperforate anus. The patient was treated under the impression of the high type imperforate anus. Posterior sagittal anorectoplasty at the age of 9 months revealed normal anorectal canal. At the age of 12 months, colostomy was repaired. Thereafter abdominal distension was developed. Barium enema noted a membranous obstruction of the colon on the level of the rectosigmoid junction. After exicision of the colonic web, the patient was discharged with no problem.
Index Words: Imperforate anus, Colonic web
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Fig. 1. Invertogram, tanken 48 hours after birth, 'Was interpreted as a suggestive finding of high type imperforate anus.
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Fig. 2. Colon stl)dy before colostomy repair shows no passage disturbance. The site of the colonic web is masked by the overlapping shadows.
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Fig. 3. Colon study after colostomy repair demonstrates the membraneous obstruction of the colon.
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Fig. 4. Both laterally retracted membrane is colonic web and Foley catheter through excised colonic web is shown on the operation field.
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