February 2017 Vol. 5 No.2

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Case Report

Multiple Post Inflammatory Strictures of the Ascending Colon in Neonate

K. Anastasiadis^1*, CH. Kepertis², E. Babatseva³, C. Tsakalidis⁴ and I. Spyridakis⁵

¹Paediatric Surgeon, 2nd Department of Paediatric Surgery, Aristotle University of Thessaloniki, General Hospital “Papageorgiou”, Thessaloniki, Greece
²Paediatric Surgeon, 2nd Department of Paediatric Surgery, Aristotle University of Thessaloniki, General Hospital “Papageorgiou”, Thessaloniki, Greece
³2nd Neonatal Intensive Care Unit, G.P.N. Papageorgiou Hospital, Aristotle University Faculty of Medicine, Thessaloniki, Greece
⁴2nd Neonatal Intensive Care Unit, G.P.N. Papageorgiou Hospital, Aristotle University Faculty of Medicine, Thessaloniki, Greece
⁵Assistant Professor, Chief of the 2nd Department of Paediatric Surgery, Aristotle University of Thessaloniki, General Hospital “Papageorgiou”, Thessaloniki, Greece

*Corresponding Author’s E-mail: kaanastasiadis1@gmail.com
Tel.: 00302313323548
Fax: 00302313323546

Accepted February 20, 2016

Abstract

Infectious and inflammatory disease states have been associated with colonic strictures. These stricture formations are frequently single and localized in the left colon. Multiple strictures can occur 15% and localization of these in colon ascendens like our case, has not been reported in the literature. We report a 51 days old female child which was born through cesarean section because of chorioamnionitis to an otherwise healthy thirdgravida mother. The 45th day after birth an incomplete ileus was revealed with abdominal distention and bilious vomiting. The operative findings were dilated intestinal loops and two consecutive strictures in the ascendens colon and hepatic flexure. Local resection of the pathological bowel was done and primary ileocolic end to end anastomosis was performed.

Keywords: inflammatory bowel disease, colonic strictures, colon ascendens