Dolichocolon Presenting with Bilateral Hydronephrosis in a Neonate
Background. Dolichocolon is an inborn anatomic variant of the colon with redundancies often causing constipation and/or volvulus presenting in childhood, adolescence, or adulthood. To the best of our knowledge, this is the first case of dolichocolon presenting in infancy with constipation and bilate...
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Format: | Article |
Language: | English |
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Wiley
2021-01-01
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Series: | Case Reports in Pediatrics |
Online Access: | http://dx.doi.org/10.1155/2021/6658525 |
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author | Laura Gielen Anke Raaijmakers Bert De Groote Eva ter Haar |
author_facet | Laura Gielen Anke Raaijmakers Bert De Groote Eva ter Haar |
author_sort | Laura Gielen |
collection | DOAJ |
description | Background. Dolichocolon is an inborn anatomic variant of the colon with redundancies often causing constipation and/or volvulus presenting in childhood, adolescence, or adulthood. To the best of our knowledge, this is the first case of dolichocolon presenting in infancy with constipation and bilateral hydronephrosis. Case Presentation. A nineteen-day-old neonate presented to the emergency department with severe constipation and discomfort. During his admission, he developed pyelonephritis, and subsequent ultrasound of the kidneys and bladder showed bilateral hydroureteronephrosis. A barium enema was performed and it showed a dolichocolon. Enemas and lactulose were initiated with good effect on both the constipation as well as the hydronephrosis. Conclusions. Dolichocolon in a neonate can cause severe constipation which could also lead to an obstructive nephropathy if untreated. Monitoring of urine flow might be indicated when a neonate presents with severe constipation. |
format | Article |
id | doaj-art-4504a39bcc54426a996cbf77cf4a1c45 |
institution | Kabale University |
issn | 2090-6803 2090-6811 |
language | English |
publishDate | 2021-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Pediatrics |
spelling | doaj-art-4504a39bcc54426a996cbf77cf4a1c452025-02-03T06:43:57ZengWileyCase Reports in Pediatrics2090-68032090-68112021-01-01202110.1155/2021/66585256658525Dolichocolon Presenting with Bilateral Hydronephrosis in a NeonateLaura Gielen0Anke Raaijmakers1Bert De Groote2Eva ter Haar3University of Antwerp, Department of Pediatrics, Antwerp, BelgiumDepartment of Pediatrics, Hospitals ZNA Jan Palfijn, Merksem, BelgiumDepartment of Pediatrics, Hospitals ZNA Jan Palfijn, Merksem, BelgiumDepartment of Pediatrics, Hospitals ZNA Jan Palfijn, Merksem, BelgiumBackground. Dolichocolon is an inborn anatomic variant of the colon with redundancies often causing constipation and/or volvulus presenting in childhood, adolescence, or adulthood. To the best of our knowledge, this is the first case of dolichocolon presenting in infancy with constipation and bilateral hydronephrosis. Case Presentation. A nineteen-day-old neonate presented to the emergency department with severe constipation and discomfort. During his admission, he developed pyelonephritis, and subsequent ultrasound of the kidneys and bladder showed bilateral hydroureteronephrosis. A barium enema was performed and it showed a dolichocolon. Enemas and lactulose were initiated with good effect on both the constipation as well as the hydronephrosis. Conclusions. Dolichocolon in a neonate can cause severe constipation which could also lead to an obstructive nephropathy if untreated. Monitoring of urine flow might be indicated when a neonate presents with severe constipation.http://dx.doi.org/10.1155/2021/6658525 |
spellingShingle | Laura Gielen Anke Raaijmakers Bert De Groote Eva ter Haar Dolichocolon Presenting with Bilateral Hydronephrosis in a Neonate Case Reports in Pediatrics |
title | Dolichocolon Presenting with Bilateral Hydronephrosis in a Neonate |
title_full | Dolichocolon Presenting with Bilateral Hydronephrosis in a Neonate |
title_fullStr | Dolichocolon Presenting with Bilateral Hydronephrosis in a Neonate |
title_full_unstemmed | Dolichocolon Presenting with Bilateral Hydronephrosis in a Neonate |
title_short | Dolichocolon Presenting with Bilateral Hydronephrosis in a Neonate |
title_sort | dolichocolon presenting with bilateral hydronephrosis in a neonate |
url | http://dx.doi.org/10.1155/2021/6658525 |
work_keys_str_mv | AT lauragielen dolichocolonpresentingwithbilateralhydronephrosisinaneonate AT ankeraaijmakers dolichocolonpresentingwithbilateralhydronephrosisinaneonate AT bertdegroote dolichocolonpresentingwithbilateralhydronephrosisinaneonate AT evaterhaar dolichocolonpresentingwithbilateralhydronephrosisinaneonate |