An Unusual Form of Coloniic Atresia Diagnosed in Infant of 8 Months

A 8-month-old male Infant, from Ivory Coast, born out of a non-consanguineous marriage, 2nd of a sibling of 2 children with an elder brother of 3 years without anomaly. He is from a non-follow-up pregnancy. He admitted in an array of chronic constipation, bloated stomach with few food vomiting evolving since the age of four (04) months. There was no bilious vomiting or stoppage of matter and gases. Parents testified there was a delay in the emission of meconium at the 48th hour. Physical examination showed an infant presenting slender limbs, weighing 8 Kg with general condition little altered (no delay in weight or psychomotor), macroglossia present since birth (Figure 1), unstressed umbilical hernia (Figure 2) with a small hernial sac, no malformation of the nervous system or bone skeleton, abdomen supple and depressible, distended with diffuse tympanism, without collateral venous circulation, mass and defense. There was no anal imperforation and anorectal stimulation was not accompanied with stool emission. In total, it is a sub-occlusive syndrom associated with upper digestive tract malformation. We suspect the coexistence of an abnormality of the lower digestive tract. It evoked, the less likely the most likely, a irritable bowel syndrom, a gastrointestinal stenosis and Hirschsprung disease. We then carried out the following additional tests: Thorax and abdomen radiological examination without preparation showed (Figure 3): a large aeric and stercoral stasis drawing the entire colon, including the rectum, an absence of hydro-aerial level, a thickening of the intestinal walls of the recto-sigmoid region. Volume 4 Issue 2 2017