Dolichocolon Presenting with Bilateral Hydronephrosis in a Neonate

Background. Dolichocolon is an inborn anatomic variant of the colon with redundancies often causing constipation and/or volvulus presenting in childhood, adolescence, or adulthood. To the best of our knowledge, this is the first case of dolichocolon presenting in infancy with constipation and bilate...

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Bibliographic Details
Published in:Case reports in pediatrics 2021, Vol.2021, p.6658525-5
Main Authors: Gielen, Laura, Raaijmakers, Anke, De Groote, Bert, ter Haar, Eva
Format: Article
Language:English
Subjects:
Abdomen
Anorexia
Antibiotics
Barium
Bladder
Case Report
Case reports
Catheters
Colon
Constipation
Creatinine
Defecation
Hydronephrosis
Kidneys
Literature reviews
Newborn babies
Oliguria
Pain
Pathophysiology
Pediatrics
Teenagers
Ultrasonic imaging
Urine
Urogenital system
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Summary:Background. Dolichocolon is an inborn anatomic variant of the colon with redundancies often causing constipation and/or volvulus presenting in childhood, adolescence, or adulthood. To the best of our knowledge, this is the first case of dolichocolon presenting in infancy with constipation and bilateral hydronephrosis. Case Presentation. A nineteen-day-old neonate presented to the emergency department with severe constipation and discomfort. During his admission, he developed pyelonephritis, and subsequent ultrasound of the kidneys and bladder showed bilateral hydroureteronephrosis. A barium enema was performed and it showed a dolichocolon. Enemas and lactulose were initiated with good effect on both the constipation as well as the hydronephrosis. Conclusions. Dolichocolon in a neonate can cause severe constipation which could also lead to an obstructive nephropathy if untreated. Monitoring of urine flow might be indicated when a neonate presents with severe constipation.
ISSN:2090-6803
2090-6811
DOI:10.1155/2021/6658525