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Colonic Atresia
Steven J. Kraus, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Colonic atresia (CA)
          • Definitions

            • Congenital colonic obstruction due to variable forms of interruption: Membrane (type I), fibrous cord (II), or complete separation with mesenteric defect (III)
            • Rarest of intestinal atresias

          IMAGING

          • General Features

            • Radiographic Findings

              • Fluoroscopic Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    Selected References

                                    1. Tsitsiou Y et al: Diagnostic decision-making tool for imaging term neonatal bowel obstruction. Clin Radiol. 76(3):163-71, 2021
                                    2. Baad M et al: Diagnostic performance and role of the contrast enema for low intestinal obstruction in neonates. Pediatr Surg Int. 36(9):1093-101, 2020
                                    3. Zhou JL et al: Radiological feature of colonic atresia. Arch Dis Child Fetal Neonatal Ed. 103(3):F263, 2018
                                    4. Goruppi I et al: Role of intraluminal bowel echogenicity on prenatal ultrasounds to determine the anatomical level of intestinal atresia. J Matern Fetal Neonatal Med. 1-6, 2016
                                    5. Gupta R et al: Gallbladder duplication associated with gastro-intestinal atresia. J Neonatal Surg. 5(2):14, 2016
                                    6. Diaz DN et al: Atresia of the colon associated with Hirschsprung's disease. Arch Iran Med. 18(5):322-3, 2015
                                    7. Halder P et al: Colonic atresia associated with annular pancreas: an extremely rare and previously unreported association. J Indian Assoc Pediatr Surg. 20(3):157-9, 2015
                                    8. Githu T et al: Fetal MRI of hereditary multiple intestinal atresia with postnatal correlation. Pediatr Radiol. 44(3):349-54, 2014
                                    9. Yap TS et al: Colonic atresia presenting as neonatal bowel obstruction in cystic fibrosis. J Pediatr Gastroenterol Nutr. 58(4):e37-8, 2014
                                    10. Maxfield CM et al: A pattern-based approach to bowel obstruction in the newborn. Pediatr Radiol. 43(3):318-29, 2013
                                    11. Vajtai Z et al: Colonic atresia. Ultrasound Q. 29(3):249-50, 2013
                                    12. Mirza B et al: Colonic atresia and stenosis: our experience. J Neonatal Surg. 1(1):4, 2012
                                    13. Haxhija EQ et al: Management of isolated and associated colonic atresia. Pediatr Surg Int. 27(4):411-6, 2011
                                    14. Etensel B et al: Atresia of the colon. J Pediatr Surg. 40(8):1258-68, 2005
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Colonic atresia (CA)
                                            • Definitions

                                              • Congenital colonic obstruction due to variable forms of interruption: Membrane (type I), fibrous cord (II), or complete separation with mesenteric defect (III)
                                              • Rarest of intestinal atresias

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • Fluoroscopic Findings

                                                  • MR Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Staging, Grading, & Classification

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      Selected References

                                                                      1. Tsitsiou Y et al: Diagnostic decision-making tool for imaging term neonatal bowel obstruction. Clin Radiol. 76(3):163-71, 2021
                                                                      2. Baad M et al: Diagnostic performance and role of the contrast enema for low intestinal obstruction in neonates. Pediatr Surg Int. 36(9):1093-101, 2020
                                                                      3. Zhou JL et al: Radiological feature of colonic atresia. Arch Dis Child Fetal Neonatal Ed. 103(3):F263, 2018
                                                                      4. Goruppi I et al: Role of intraluminal bowel echogenicity on prenatal ultrasounds to determine the anatomical level of intestinal atresia. J Matern Fetal Neonatal Med. 1-6, 2016
                                                                      5. Gupta R et al: Gallbladder duplication associated with gastro-intestinal atresia. J Neonatal Surg. 5(2):14, 2016
                                                                      6. Diaz DN et al: Atresia of the colon associated with Hirschsprung's disease. Arch Iran Med. 18(5):322-3, 2015
                                                                      7. Halder P et al: Colonic atresia associated with annular pancreas: an extremely rare and previously unreported association. J Indian Assoc Pediatr Surg. 20(3):157-9, 2015
                                                                      8. Githu T et al: Fetal MRI of hereditary multiple intestinal atresia with postnatal correlation. Pediatr Radiol. 44(3):349-54, 2014
                                                                      9. Yap TS et al: Colonic atresia presenting as neonatal bowel obstruction in cystic fibrosis. J Pediatr Gastroenterol Nutr. 58(4):e37-8, 2014
                                                                      10. Maxfield CM et al: A pattern-based approach to bowel obstruction in the newborn. Pediatr Radiol. 43(3):318-29, 2013
                                                                      11. Vajtai Z et al: Colonic atresia. Ultrasound Q. 29(3):249-50, 2013
                                                                      12. Mirza B et al: Colonic atresia and stenosis: our experience. J Neonatal Surg. 1(1):4, 2012
                                                                      13. Haxhija EQ et al: Management of isolated and associated colonic atresia. Pediatr Surg Int. 27(4):411-6, 2011
                                                                      14. Etensel B et al: Atresia of the colon. J Pediatr Surg. 40(8):1258-68, 2005