Neonatal Sigmoid Colon Perforation: A Rare Occurrence in Low Anorectal Malformation and Review of the Literature

Gastrointestinal perforation in neonates with anorectal malformation (ARM) is extremely uncommon. Delayed patient presentation is an important causative factor. A 2.5-kg neonate presented 72 hours after birth with abdominal distention and absent anal opening with meconium pearls. An abdominal X-ray...

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Main Authors: Sandesh V. Parelkar, Satish P. Kapadnis, Beejal V. Sanghvi, Prashant B. Joshi, Dinesh D. Mundada, Sanjay N. Oak
Format: Article
Language:English
Published: Elsevier 2016-06-01
Series:Pediatrics and Neonatology
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Online Access:http://www.sciencedirect.com/science/article/pii/S1875957213001551
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author Sandesh V. Parelkar
Satish P. Kapadnis
Beejal V. Sanghvi
Prashant B. Joshi
Dinesh D. Mundada
Sanjay N. Oak
author_facet Sandesh V. Parelkar
Satish P. Kapadnis
Beejal V. Sanghvi
Prashant B. Joshi
Dinesh D. Mundada
Sanjay N. Oak
author_sort Sandesh V. Parelkar
collection DOAJ
description Gastrointestinal perforation in neonates with anorectal malformation (ARM) is extremely uncommon. Delayed patient presentation is an important causative factor. A 2.5-kg neonate presented 72 hours after birth with abdominal distention and absent anal opening with meconium pearls. An abdominal X-ray revealed the presence of free gas. After adequate resuscitation patient underwent surgery. Closure of the sigmoid colon perforation with a proximal diverting loop colostomy with anoplasty was done. The literature reveals only two cases of sigmoid colon perforation with low ARM. Ours is the third case, in whom repair of the perforation and correction of the ARM was managed successfully at the same time.
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language English
publishDate 2016-06-01
publisher Elsevier
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series Pediatrics and Neonatology
spelling doaj-art-d9be1c627a564885bfe52f57a0cddd8b2025-08-20T03:48:41ZengElsevierPediatrics and Neonatology1875-95722016-06-0157323223510.1016/j.pedneo.2013.07.011Neonatal Sigmoid Colon Perforation: A Rare Occurrence in Low Anorectal Malformation and Review of the LiteratureSandesh V. ParelkarSatish P. KapadnisBeejal V. SanghviPrashant B. JoshiDinesh D. MundadaSanjay N. OakGastrointestinal perforation in neonates with anorectal malformation (ARM) is extremely uncommon. Delayed patient presentation is an important causative factor. A 2.5-kg neonate presented 72 hours after birth with abdominal distention and absent anal opening with meconium pearls. An abdominal X-ray revealed the presence of free gas. After adequate resuscitation patient underwent surgery. Closure of the sigmoid colon perforation with a proximal diverting loop colostomy with anoplasty was done. The literature reveals only two cases of sigmoid colon perforation with low ARM. Ours is the third case, in whom repair of the perforation and correction of the ARM was managed successfully at the same time.http://www.sciencedirect.com/science/article/pii/S1875957213001551anorectal malformationsperforative peritonitispneumoperitoneumsigmoid colon
spellingShingle Sandesh V. Parelkar
Satish P. Kapadnis
Beejal V. Sanghvi
Prashant B. Joshi
Dinesh D. Mundada
Sanjay N. Oak
Neonatal Sigmoid Colon Perforation: A Rare Occurrence in Low Anorectal Malformation and Review of the Literature
Pediatrics and Neonatology
anorectal malformations
perforative peritonitis
pneumoperitoneum
sigmoid colon
title Neonatal Sigmoid Colon Perforation: A Rare Occurrence in Low Anorectal Malformation and Review of the Literature
title_full Neonatal Sigmoid Colon Perforation: A Rare Occurrence in Low Anorectal Malformation and Review of the Literature
title_fullStr Neonatal Sigmoid Colon Perforation: A Rare Occurrence in Low Anorectal Malformation and Review of the Literature
title_full_unstemmed Neonatal Sigmoid Colon Perforation: A Rare Occurrence in Low Anorectal Malformation and Review of the Literature
title_short Neonatal Sigmoid Colon Perforation: A Rare Occurrence in Low Anorectal Malformation and Review of the Literature
title_sort neonatal sigmoid colon perforation a rare occurrence in low anorectal malformation and review of the literature
topic anorectal malformations
perforative peritonitis
pneumoperitoneum
sigmoid colon
url http://www.sciencedirect.com/science/article/pii/S1875957213001551
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