Abstract
Postoperative neonatal intestinal obstruction has a myriad of etiology. An operated case of imperforate anus developed intestinal obstruction early postoperatively. At re-operation, missed complete congenital pouch colon with a small perforation and displacement of small bowel into the lesser sac were found. The patient was managed by adhesionolysis, excision of pouch colon, and end ileostomy. The patient did well postoperatively.
Highlights
Postoperative neonatal intestinal obstruction has a myriad of etiology
Further dissection showed that opening was formed by free margin of greater omentum which was adhered with bowel loops and posterior abdominal wall
Earlier we have studied etiology of first week postoperative intestinal obstruction in neonates and children and found a host of etiologies including postoperative intussusception, internal herniation through a mesenteric defect, soft adhesions causing intestinal kinking, gossypiboma, and missed incomplete congenital pouch colon (CPC).[1]
Summary
Postoperative neonatal intestinal obstruction has a myriad of etiology. An operated case of imperforate anus developed intestinal obstruction early postoperatively. An 8-day-old male neonate, known case of imperforate anus with a colostomy at the left lower quadrant, was referred to our hospital with abdominal distension, bilious vomiting, and not passing stool for 3 days.
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