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2013, Número 3

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Acta Pediatr Mex 2013; 34 (3)


Síndrome de bolsa colónica (colon pouch) en el espectro de las malformaciones anorrectales

de la Torre-Mondragón L, Santos-Jasso KA, Palestina-Carro O, Ruíz-Montañez A

Idioma: Español
Referencias bibliográficas: 34
Paginas: 132-140
Archivo PDF: 299.55 Kb.


RESUMEN

El síndrome de bolsa colónica congénita (BC) (colon pouch: CP) es un padecimiento infrecuente en el cual el colon es reemplazado total o parcialmente por una dilatación quística. Se acompaña de una malformación anorrectal, que puede ser una fístula que comunica con la vía urinaria, con la vagina, con el vestíbulo, o puede terminar en fondo de saco ciego. Este trabajo describe una rara variante de malformación de anorrectal en dos casos con BC o CP tipos II y III respectivamente. El diagnóstico se sospechó por una radiografía simple de abdomen y un colograma distal. Se confirmó en el transoperatorio. Se analizan las controversias en el tratamiento quirúrgico y se hace énfasis en el seguimiento de los pacientes con cualquier variedad de malformación anorrectal así como su etapa de rehabilitación intestinal.


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