Affiliation:
1. Centro Médico Nacional del Noroeste No.25 del Instituto Mexicano del Seguro Social, Monterrey, Nuevo León.
2. Alpha 0.01 Instituto de Investigación Biomédica, Durango, México, Universidad Juárez del Estado de Durango
Abstract
INTRODUCTION: Congenital colonic pouch syndrome is an extremely rare condition, particularly in
Western countries. In this condition, the colon is replaced with a partially or completely abnormal pouch,
connected to the genitourinary tract by a stula or may end in a blind pouch. As it is a congenital condition, the cases reported
are found in the neonatal population, so its detection in adulthood is extremely rare. We present CASE PRESENTATION: the
case of a 43-year-old female, who was admitted to the general surgery service with suspected stulizing CROHN's disease. She
attended with a two-month clinical picture, presenting a painful ulcer in the left perianal and gluteal region, accompanied by
discharge of purulent material and feces through the vaginal introitus. Laboratory tests (CAT, colonoscopy and MRI) did not
present conclusive information. An exploratory laparotomy was performed, nding a congenital type I colonic pouch, so it was
resected, and a terminal ileostomy was performed. The present case aimed to report our experi CONCLUSIONS: ence with a
pathology that has not been reported in this particular age group in our country. Imaging studies before surgery were unable to
diagnose the pathology, so the exploratory laparotomy was decisive for the treatment.
Subject
Paleontology,Stratigraphy,Global and Planetary Change,Paleontology,Stratigraphy,Global and Planetary Change,Atmospheric Science,Environmental Science (miscellaneous),Global and Planetary Change,Management, Monitoring, Policy and Law,Atmospheric Science,General Environmental Science,Environmental Chemistry,Management, Monitoring, Policy and Law,Atmospheric Science,Geography, Planning and Development,Global and Planetary Change,Atmospheric Science,Global and Planetary Change,Atmospheric Science,Global and Planetary Change,Pharmacology,Toxicology,Pharmacology (medical),Cardiology and Cardiovascular Medicine,Complementary and alternative medicine,General Medicine