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Congenital Pouch Colon in Girls: An Algorithm for Preoperative Diagnosis

AIM: The aim of the study was o define the preoperative diagnostic clinical and radiological features in girls with congenital pouch colon (CPC). MATERIALS AND METHODS: Records of 47 girls with CPC, managed from 1996 to 2018, were reviewed. There were two age groups: Group A (newborn to 12 months; n...

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Autores principales: Gupta, Amit, Kumar, Amit, Chadha, Rajiv, Yadav, Partap Singh, Khanna, Vikram, Choudhury, Subhasis Roy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8853605/
https://www.ncbi.nlm.nih.gov/pubmed/35261517
http://dx.doi.org/10.4103/jiaps.JIAPS_329_20
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author Gupta, Amit
Kumar, Amit
Chadha, Rajiv
Yadav, Partap Singh
Khanna, Vikram
Choudhury, Subhasis Roy
author_facet Gupta, Amit
Kumar, Amit
Chadha, Rajiv
Yadav, Partap Singh
Khanna, Vikram
Choudhury, Subhasis Roy
author_sort Gupta, Amit
collection PubMed
description AIM: The aim of the study was o define the preoperative diagnostic clinical and radiological features in girls with congenital pouch colon (CPC). MATERIALS AND METHODS: Records of 47 girls with CPC, managed from 1996 to 2018, were reviewed. There were two age groups: Group A (newborn to 12 months; n = 26) and Group B (>12 months to 20 years; n = 21). The important clinical and radiologic features to help in a preoperative diagnosis were noted. RESULTS: The most common subtype was Type II (57.4%), followed by Type I (23.4%) and Type III (12.8%). The features common to both the groups were abdominal distension (A = 53.8%; B = 9.52%), severe perineal excoriation (A = 19.2%; B = 23/8%), and urinary incontinence (A = 30.7%; B = 85.7%). In addition, in Group B, fecaloma on abdominal palpation was noted in 28.6% of patients. The characteristic appearance of the perineum including external genitalia and findings on plain abdominal X-ray (AXR) were 100% accurate and hence diagnostic. These unique features helped us formulate an algorithm for preoperative diagnosis of this uncommon form of anorectal malformation in girls seen in North India. CONCLUSIONS: The characteristic features on clinical examination should alert one to the presence of CPC in the outpatient clinic. The AXR was diagnostic in 100% of cases and is mandatory. If any doubt persists, examination of the genitalia under anesthesia with more retraction of the labial folds and endoscopy can be performed for confirmation. These measures should enable a clinician to make an accurate preoperative diagnosis in every girl with CPC.
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spelling pubmed-88536052022-03-07 Congenital Pouch Colon in Girls: An Algorithm for Preoperative Diagnosis Gupta, Amit Kumar, Amit Chadha, Rajiv Yadav, Partap Singh Khanna, Vikram Choudhury, Subhasis Roy J Indian Assoc Pediatr Surg Original Article AIM: The aim of the study was o define the preoperative diagnostic clinical and radiological features in girls with congenital pouch colon (CPC). MATERIALS AND METHODS: Records of 47 girls with CPC, managed from 1996 to 2018, were reviewed. There were two age groups: Group A (newborn to 12 months; n = 26) and Group B (>12 months to 20 years; n = 21). The important clinical and radiologic features to help in a preoperative diagnosis were noted. RESULTS: The most common subtype was Type II (57.4%), followed by Type I (23.4%) and Type III (12.8%). The features common to both the groups were abdominal distension (A = 53.8%; B = 9.52%), severe perineal excoriation (A = 19.2%; B = 23/8%), and urinary incontinence (A = 30.7%; B = 85.7%). In addition, in Group B, fecaloma on abdominal palpation was noted in 28.6% of patients. The characteristic appearance of the perineum including external genitalia and findings on plain abdominal X-ray (AXR) were 100% accurate and hence diagnostic. These unique features helped us formulate an algorithm for preoperative diagnosis of this uncommon form of anorectal malformation in girls seen in North India. CONCLUSIONS: The characteristic features on clinical examination should alert one to the presence of CPC in the outpatient clinic. The AXR was diagnostic in 100% of cases and is mandatory. If any doubt persists, examination of the genitalia under anesthesia with more retraction of the labial folds and endoscopy can be performed for confirmation. These measures should enable a clinician to make an accurate preoperative diagnosis in every girl with CPC. Wolters Kluwer - Medknow 2022 2022-01-11 /pmc/articles/PMC8853605/ /pubmed/35261517 http://dx.doi.org/10.4103/jiaps.JIAPS_329_20 Text en Copyright: © 2022 Journal of Indian Association of Pediatric Surgeons https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Gupta, Amit
Kumar, Amit
Chadha, Rajiv
Yadav, Partap Singh
Khanna, Vikram
Choudhury, Subhasis Roy
Congenital Pouch Colon in Girls: An Algorithm for Preoperative Diagnosis
title Congenital Pouch Colon in Girls: An Algorithm for Preoperative Diagnosis
title_full Congenital Pouch Colon in Girls: An Algorithm for Preoperative Diagnosis
title_fullStr Congenital Pouch Colon in Girls: An Algorithm for Preoperative Diagnosis
title_full_unstemmed Congenital Pouch Colon in Girls: An Algorithm for Preoperative Diagnosis
title_short Congenital Pouch Colon in Girls: An Algorithm for Preoperative Diagnosis
title_sort congenital pouch colon in girls: an algorithm for preoperative diagnosis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8853605/
https://www.ncbi.nlm.nih.gov/pubmed/35261517
http://dx.doi.org/10.4103/jiaps.JIAPS_329_20
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