Back to Annual Meeting Posters

INTRODUCTION:
Congenital pouch colon (CPC) is a rare supralevator anorectal anomaly in which the whole of colon or part of the colon is replaced by a pouch like dilatation. The pouch ends blindly with urogenital tract communication. The present study highlights the incidence, classification and management of CPC
METHODS:
104 cases of congenital pouch colon managed from Jan, 2000 to Oct, 2012 were reviewed. 83 male and 21 female neonates were operated for CPC.
RESULTS:
CPC accounts for 12.55% of all anorectal malformations (ARM) and 23.33% of high ARM. The average age of presentation was 2.16 days; 28.5% with poor general condition. Preoperative diagnosis of CPC was possible in 71% of cases in our study. Sixty-four percent (n=36) of cases had incomplete pouch colon while 35% (n=20) had complete pouch colon. As initial procedures for incomplete CPC included right transverse colostomy done in 40%, and colostomy at descending colon just proximal to pouch in 10%. Ileostomy in 20% & window colostomy in 30% was done for complete CPC. As definitive procedures; pouch excision and abdomino-perineal pull-through of colon was done in 53, coloplasty & abdomino-perineal pull-through of coloplasty colon was done in 15, & pouch excision & abdomino-perineal pull-through of terminal ileum was done in 20 cases.
CONCLUSION(S):
Staged Surgical procedures were safe with overall mortality of 17%.