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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Main Authors: Laura Gielen, Anke Raaijmakers, Bert De Groote, Eva ter Haar
Format: Article
Language:English
Published: Wiley 2021-01-01
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.
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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
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AT bertdegroote dolichocolonpresentingwithbilateralhydronephrosisinaneonate
AT evaterhaar dolichocolonpresentingwithbilateralhydronephrosisinaneonate