Congenital Pouch Colon associated with Anorectal Malformation: A Case Report and Review of Literature

Abstract

A one day male baby was brought with absent anal opening and meconuria. Clinically anal opening was absent.There was meconium in urine and left undescended testis. Postnatal X ray and Invertogram showed high anorectal malformation with air filled cystic area in the lower abdomen. Intraoperatively we found a pouch- like dilatation of colon with its distal end opening into the dome of bladder forming a fistula between pouch and bladder. Divided diversion colostomy proximal to pouch with preservation of pouch was done as first stage of operative procedure. Colonorraphy and pull through has been planned as second stage operation after 4 months.nbsp