Abstract
Congenital pouch colon (CPC) is a rare form of anorectal malformation, in which the entire colon is replaced by an enormously dilated pouch that communicates with a fistula to the genitourinary tract. CPC is a condition which comprises of a high form of anorectal malformation which is associated with large variations in the size of the dilatations of the affected colonic segment. Surgical management depends on the type of CPC, and outcomes are variable depending on the length of colon affected and the anorectal muscle complex.
Similar content being viewed by others
References
Agarwal K, Chadha R, Ahluwalia C. The histopathology of the congenital pouch colon associated with anorectal agenesis. Eur J Pediatr Surg. 2005;15:102–6.
Al-Salem AH. Unusual variants of congenital pouch colon with anorectal malformations. J Pediatr Surg. 2008;43:2096–8.
Arestis NJ, Clarke C, Munro FD, Micallef C, O’Sullivan MJ. Congenital pouch colon (CPC) associated with anorectal agenesis: a case report and review of literature. Pediatr Dev Pathol. 2005;8:701–5.
Budhiraja S, Pandit SK, Rattan KN. A report of 27 cases of congenital short colon with an imperforate anus so called “pouch colon syndrome”. Trop Dr. 1997;2:17–20.
Chadha R, Khan NA. Congenital pouch colon. J Indian Assoc Pediatr Surg. 2017;22(2):69–78.
Chadha R, Bagga D, Malhotra CJ, Mohta A, Dhar A, Kumar A. The embryology and management of congenital pouch colon associated with anorectal agenesis. J Pediatr Surg. 1994;29:439–46.
Chadha R, Gupta S, Mahanjan JK, et al. Congenital pouch colon in females. Pediatr Surg Int. 1999;15:336–42.
Chadha R, Bagga D, Gupta S, et al. Congenital pouch colon: massive redilatation of the tubularized colonic pouch after pull-through surgery. J Pediatr Surg. 2002;37:1376–9.
Chadha R, Khan NA, Shah S, et al. Congenital pouch colon in girls: genitourinary abnormalities and their management. J Indian Assoc Pediatr Surg. 2015;20(3):105–15.
Chatterjee SK. Anorectal malformations: a surgeons experience. Delhi: Oxford University Press; 1991. p. 170–5.
Chiba T, Kasai M, Asakura Y. Two cases of coloplasty for congenital short colon. Nippon Geva Hokan. 1976;45:40–4.
Cloutier R, Archambault H, D’Amours C, et al. Focal ectasia of the terminal bowel accompanying low anal deformities. J Pediatr Surg. 1987;22:758–60.
Dickinson SJ. Agenesis of the descending colon with imperforate anus. Correlation with modern concepts of the origin of intestinal atresia. Am J Surg. 1967;113:279–81.
El-Shafie M. Congenital short intestine and cystic dilatation of the colon associated with ectopic anus. J Pediatr Surg. 1971;6:76.
Fromm M, Schulzke JD, Hegel U. Aldosterone low-dose, short-term action in adrenalectomized glucocorticoid-substituted rats: Na, K, Cl, HCO3, osmolyte, and water transport in proximal and rectal colon. Pflugers Arch. 1990;416:573–9.
Gangopadhyay AN, Patne SC, Pandey A, et al. Congenital pouch colon associated with anorectal malformation-histopathologic evaluation. J Pediatr Surg. 2009;44:600–6.
Gharpure V. Our experience in congenital pouch colon. J Indian Assoc Pediatr Surg. 2007;12:22–4.
Ghritlaharey RK, Budhwani KS, Shrivastava DK, et al. Experience with 40 cases of congenital pouch colon. J Indian Assoc Pediatr Surg. 2007;12:13–6.
Gopal G. Congenital rectovaginal fistula with colonic reservoir. Indian J Surg. 1978;40:446.
Gupta DK, Sharma S. Congenital pouch colon. In: Hutson J, Holschneider A, editors. Anorectal malformations. 1st ed. Heidelberg: Springer; 2006. p. 211–22.
Gupta DK, Sharma S. Congenital pouch colon- then and now. J Indian Assoc Pediatr Surg. 2007;12:5–12.
Hatch M, Freel RW. Electrolyte transport across the rabbit caecum in vitro. Pflugers Arch. 1988;411:333–8.
Herman TE, Coplen D, Skinner M. Congenital short colon with imperforate anus (pouch colon). Report of a case. Pediatr Radiol. 2000;30:243–6.
Holschneider A, Hutson J, Pena J, et al. Preliminary report on the international conference for the development of standards for the treatment of anorectal malformations. J Pediatr Surg. 2005;40:1521–6.
Li Z. Congenital atresia of the anus with short colon malformation. Chin J Pediatr Surg. 1981;2:30–2.
Mathur P, Prabhu K, Jindal D. Unusual presentations of pouch colon. J Pediatr Surg. 2002;37:1351–3.
Mathur P, Saxena AK, Simlot A. Management of pouch colon based on the Saxena-Mathur classification. J Pediatr Surg. 2009;44:962–6.
Mathur P, Saxena AK, Bajaj M, Chandra T, Sharma NC, Simlot A, Saxena AK. Role of plain abdominal radiographs in predicting type of congenital pouch colon. Pediatr Radiol. 2010;40:1603–8.
Mathur P, Nunia V, Sharma R, Simlot A, Medicherla KM. Congenital Pouch Colon: Role of Genetics or Environmental Influence? Pathobiology. 2018;85(5–6):332–341.
Narasimha Rao KL, Yadav K, Mitra SK, Pathak IG. Congenital short colon with imperforate anus (pouch colon syndrome). Ann Pediatr Surg. 1984;1:159–67.
Ratan SK, Rattan KN. “Pouch colon patch graft” – an alternative treatment for congenital short colon. Pediatr Surg Int. 2004;20:801–3.
Sarin YK, Nagdeve NG, Sengar M. Congenital pouch colon in female subjects. J Indian Assoc Pediatr Surg. 2007;12:17–21.
Saxena AK, Mathur P. Classification of congenital pouch colon based on anatomic morphology. Int J Color Dis. 2008;23:635–9.
Sharma S, Gupta DK, Bhatnagar V, et al. Management of congenital pouch colon in association with ARM. J Indian Assoc Pediatr Surg. 2005;10:S22.
Shinde NK, Kumar P, Dabla PK, et al. Assessment of nutritional status of patients of congenital pouch colon following definitive surgery. J Indian Assoc Pediatr Surg. 2017;22(1):13–8.
Singh S, Pathak IC. Short colon associated with imperforate anus. Surgery. 1972;71:781–6.
Singh A, Singh R, Singh A. Short colon with anorectal malformation. Acta Pediatr Scand. 1977;66:589–94.
Singhal AK, Bhatnagar V. Colostomy prolapsed and hernia following window colostomy in congenital pouch colon. Pediatr Surg Int. 2006;22:459–61.
Spriggs NJ. Congenital occlusion of the gastrointestinal tract. Guys Hosp Rep. 1912;766:143.
Sweiry JH, Binder HJ. Active potassium absorption in rat distal colon. J Physiol. 1990;423:155–70.
Trusler GA, Mestel AL, Stephens CA. Colon malformation with imperforate anus. Surgery. 1959;45:328–34.
Tyagi P, Mandal MS, Mandal S, et al. Pouch colon associated with anorectal malformations fails to show spontaneous contractions but responds to acetylcholine and histamine in vitro. J Pediatr Surg. 2009;44:2156–62.
Udawat H, Nunia V, Mathur P, et al. Histopathological and immunohistochemical findings in congenital pouch colon: a prospective study. Pathobiology. 2017;84(4):202–9.
Wakhlu AK, Tandon RK, Kalra R. Short colon with anorectal malformation. Indian J Surg. 1982;44:621–9.
Wakhlu AK, Wakhlu A, Pandey A, Agarwal R, Tandon RK, Kureel SN. Congenital short colon. World J Surg. 1996a;20(1):107–14.
Wakhlu AK, Pandey A, Wakhlu A, et al. Coloplasty for congenital short colon. J Pediatr Surg. 1996b;31:344–8.
Wardhan H, Gangopadhyay AN, Singhal GD, et al. Imperforate anus with congenital short colon (pouch colon syndrome). Pediatr Surg Int. 1990;5:124–6.
Wester T, Läckgren G, Christofferson R, Rintala RJ. The congenital pouch colon can be used for vaginal reconstruction by longitudinal splitting. J Pediatr Surg. 2006;41:e25–8.
Wu YJ, Du R, Zhang GE, Bi ZG. Association of imperforate anus with short colon: a report of eight cases. J Pediatr Surg. 1990;25:282–4.
Yadav K, Narasimharao KL. Primary pull-through as a definitive treatment of short colon associated with imperforate anus. Aust NZJ Surg. 1983;53:229–30.
Yau WM, Makhlouf GM. Comparison of transport mechanisms in isolated ascending and descending rat colon. Am J Phys. 1975;228:191–5.
Acknowledgments
Adapted with permission of Taylor and Francis.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer-Verlag GmbH Germany, part of Springer Nature
About this entry
Cite this entry
Saxena, A.K., Mathur, P. (2019). Congenital Pouch Colon. In: Puri, P. (eds) Pediatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38482-0_77-2
Download citation
DOI: https://doi.org/10.1007/978-3-642-38482-0_77-2
Received:
Accepted:
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-38482-0
Online ISBN: 978-3-642-38482-0
eBook Packages: Springer Reference MedicineReference Module Medicine
Publish with us
Chapter history
-
Latest
Congenital Pouch Colon- Published:
- 02 August 2019
DOI: https://doi.org/10.1007/978-3-642-38482-0_77-2
-
Original
Congenital Pouch Colon- Published:
- 04 April 2017
DOI: https://doi.org/10.1007/978-3-642-38482-0_77-1