A Case of Multiple Atresia of the Colon

Abstract

Multiple atresia of the colon is very rare. Only three cases have been successfully treated. A 3 day old full-term (3,200g) male infant was transferred to our hospital for abdominal distension and bilious vomiting. At the 1st operation, the total colon was found to be collapsed, while the terminal ileum was markedly dilated. A cecostomy was performed. At the 2nd operation 1 year later, type-I atresias (Louw's classification) of the ascending and sigmoid colons were found. The transverse colon was normal. The ascending and sigmoid colons were resected followed by an ileo-colostomy and a distal colostomy with good results. The etiology of atresia in this case may be explained by Tandler's theory, because the vacuoles at the obstructed areas were coverd with the immature epithelia, but didn't have any muscular layer.