Neonatal intestinal obstruction speaker: Amani Aziz AL-rahman

Colon atresia Meconium plug Meconium ileus Anorectal malformation Small left colon syndrome

In female: the anus open in front of it’s normal position (vestibular anus) High type: rectum ends before levator ani muscle, with no feacal control In male: rectourethral fistula In female: rectovaginal fistula TREATMENT Low type: anoplasty, good prognosis High type: Colostomy at birth, then at 6 months posterior sagittal anorectoplasty, 2 months later close the colostomy

Investigation: (invertogram) 1.measure the distant between radioopuqe at anal site and the rectum 2.Draw line from the coccyx to the syumphs pubic (levator muscle) N.B:70% present with associated anomalies 50% urologic, 20% VACTERL

Small left colon syndrome Rare cause History of maternal diabetes with abnormal glucose tolerance test in 50% infants can be hypoglycemic septic association with hypothyroidism, hypermagnesaemia, Ass/e maternal use of psychotic medication Dysmotility in the descending colon

Contrast study : short colon and lack of tortuosity from the splenic flexure to the anus Rectal biopsy shows present of ganglion cells If it sever it required colostomy

Megacystic-microcolon-intestinal hypoperistalsis syndrome Rare cause is a high number of ganglion cells Megacystis and megaureters Most of the patients die from the complication Contrast enema:

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