Enteric mucocele formation after endorectal pull-through: Report of a case
Journal
Journal of the Formosan Medical Association
Journal Volume
99
Journal Issue
8
Pages
650-652
Date Issued
2000
Author(s)
Abstract
We report a case of enteric mucocele formation in a 4-year-old boy after endorectal pull-through correction for Hirschsprung's disease with proximal intestinal neuronal dysplasia. On 17 April 1997, when the patient was 2 years old, a loop ileostomy was performed after an ineffective endorectal pull-through operation involving the right colon. Because of frequent prolapse of the stoma, when the child was two-and-a-halfyears old an end ileostomy was made by a resection of the distal ileotoma and redundant terminal ileum. When he was 4 years old, he was readmitted because of ileus, peritonitis, and a huge abdominal mass. Complete atresia of the colon at the level of pelvic reflection with proximal enteric mucocele formation was noted at laparotomy. He made an uneventful recovery after resection of the mucocete. This is the first reported case of such a complication after an endorectal pull-through operation. The possible causes and techniques for the prevention of this complication are discussed.
Subjects
Endorectal pull-through; Enteric mucocele; Hirschsprung's disease; Intestinal neuronal dysplasia
SDGs
Other Subjects
abdominal mass; article; atresia; case report; clinical feature; Hirschsprung disease; human; ileus; laparotomy; male; mucocele; peritonitis; preschool child; pull through operation; treatment outcome; Child, Preschool; Colon; Colonic Diseases; Hirschsprung Disease; Humans; Male; Mucocele; Postoperative Complications; Rectum
Type
journal article