Abstract
A newborn with congenital segmental dilatation of the intestine affecting the colon is presented. This rare condition, unrelated to Hirschsprung’s disease, may affect any portion of the bowel and is characterized by focal dilatation of a segment of bowel flanked by normal proximal and distal bowel. While reported in the surgical literature, congenital segmental dilatation of the intestine has not been reported in the pediatric radiology literature even though pediatric radiologists may be the first to encounter imaging suggesting the diagnosis. We therefore present the characteristic imaging findings, including abdominal radiographs and images from a contrast enema, and discuss the clinical presentation, pathology findings, associations, treatment, and prognosis of congenital segmental dilatation of the intestine to increase awareness of this unusual diagnosis.
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References
Swenson O, Rathauser F (1959) Segmental dilatation of the colon; a new entity. Am J Surg 97:734–738. https://doi.org/10.1016/0002-9610(59)90338-1
Sergi C, Hager T, Hager J (2019) Congenital segmental intestinal dilatation: a 25-year review with long-term follow-up at the Medical University of Innsbruck, Austria. AJP Rep 9:e218–e225. https://doi.org/10.1055/s-0039-1693164
Mahadevaiah SA, Panjwani P, Kini U et al (2011) Segmental dilatation of sigmoid colon in a neonate: atypical presentation and histology. J Pediatr Surg 46:e1-4. https://doi.org/10.1016/j.jpedsurg.2010.10.024
Paradiso FV, Coletta R, Olivieri C et al (2013) Antenatal ultrasonographic features associated with segmental small bowel dilatation: an unusual neonatal condition mimicking congenital small bowel obstruction. Pediatr Neonatol 54:339–343. https://doi.org/10.1016/j.pedneo.2012.10.011
al-Salem AH, Grant C (1990) Segmental dilatation of the colon. Report of a case and review of the literature. Dis Colon Rectum 33:515–518. https://doi.org/10.1007/bf02052150
Sakaguchi T, Hamada Y, Masumoto K et al (2015) Segmental dilatation of the intestine: results of a nationwide survey in Japan. Pediatr Surg Int 31:1073–1076. https://doi.org/10.1007/s00383-015-3788-7
Brawner J, Shafer AD (1973) Segmental dilatation of the colon. J Pediatr Surg 8:957–958. https://doi.org/10.1016/0022-3468(73)90023-7
Irving IM, Lister J (1977) Segmental dilatation of the ileum. J Pediatr Surg 12:103–112. https://doi.org/10.1016/0022-3468(77)90303-7
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Stock, M.R., Weinberg, G. & Levin, T.L. Congenital segmental dilatation of the colon in a newborn: a radiologic perspective of an unusual entity. Pediatr Radiol 53, 1722–1725 (2023). https://doi.org/10.1007/s00247-023-05639-0
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DOI: https://doi.org/10.1007/s00247-023-05639-0