Congenital Pouch Colon with Double Meckel’s Diverticulae

A one-day-old boy weighing 2.4 kg was admitted with imperforate anus. On physical examination there was marked abdominal distension and palpable bladder. External genitalia were normal. A per urethral 6F feeding tube could be passed easily into the bladder. Invertogram suggested the presence of congenital pouch colon malformation. Exploration revealed type 1 complete colonic pouch and a bladder diverticulum. This diverticulum had a fistulous communication with distal end of pouch. Terminal ileum was directly opening into the pouch. Appendix was absent. Meckel’s diverticulum was found 40 centimeters proximal to terminal ileum. There was another diverticulum on anti-mesenteric border 10 cm proximal to Meckel’s diverticulum. No attempt was made to excise these asymptomatic and normal appearing diverticulae. Coloplasty of type I CPC was deferred due to poor general condition of the baby.