Congenital Colonic Stenosis

A one month old male child presented with history of recurrent abdominal distention and vomiting since birth. On initial clinical evaluation a diagnosis of Hirschsprung’s disease was made and a lower GI contrast study was done. In the study, the contrast failed to go beyond the junction of the sigmoid colon and the descending colon even when injected under moderate pressure suggesting obstruction at that junction.

After stabilization the baby was taken for surgery where a stenotic segment of about 4cm was identified at the junction of the descending colon and the sigmoid colon which was resected and an end-to-end anastomosis was done with a diversion ileostomy at terminal ileum. The baby was discharged uneventfully on postoperative day 6.