From: Etiology and surgical management of pediatric acute colon perforation beyond the neonatal stage
No | Age | Gender | Etiology | No. of perforation | Site (colon) | Diameter (cm) | Histopathology | Surgical procedure | Stoma formation | Draining tube | Complications | Follow-up |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 8 months | M | Bowel necrosis (Stragulated hernia) | 1 | Ascending | 0.5 | – | Suture repair + hernia repair and appendectomy | – | No | – | Good |
2 | 9 months | F | Chemotherapy (Hepatoblastoma) | 1 | Transverse (Splenic region) | 1.5 | – | Suture repair | – | Yes | – | Good |
3 | 12Â year 7 months | M | Colorectal adenocarinoma | 1 | Descending | 0.5 | Colorectal carcinoma (moderately differeniated) | Suture repair | Colostomy | No | Tightness in chest, shortness of breath, convulsions | Died |
4 | 15 yearr | F | Colorectal adenocarinoma | 1 | Sigmoid | 0.5 | Colorectal carcinoma (moderately differeniated) | Suture repair | Colostomy | No | Surgical wound infection | Good |
5 | 7 year 1 months | M | Foreign object | 2 | Sigmoid, small | 0.5 | – | Resection | – | No | – | Good |
6 | 5 year 3 months | F | Foreign object | 1 | Transverse (Splenic region) | 0.2 | – | Suture repair with laparoscopic surveillance | – | No | – | Good |
7 | 7 year 4 months | F | Foreign object | 2 | Ascending, small | 0.5 | – | Suture repair with laparoscopic surveillance | – | No | – | Good |
8 | 3 year 11 months | M | Foreign object (Magnet) | 2 | Transverse, small | 1.0 | – | Laparoscopic suture repair | – | No | – | Good |
9 | 1 year 9 months | F | Foreign object (Magnet) | 5 | Transverse, small | 1.0 | – | Laparoscopic suture repair | – | No | – | Good |
10 | 6 year 8 months | F | Iatrogenic (Colonoscopy) | 1 | Sigmoid | 0.8 | –– | Suture repair | – | Yes | – | Good |
11 | 5 months | M | Iatrogenic (Intussusception) | 1 | Transverse | 0.5 | Inflammatory granulation tissue, colitis and pericolitis | Resection | Colostomy | Yes | Pneumonia and diarrhea | Good |
12 | 1 month | F | Unknown | 1 | Sigmoid | 0.3 | – | Suture repair | – | Yes | Surgical wound infection | Good |
13 | 13 year 3 months | M | Unknown | 1 | Transverse (Splenic region) | – | Inflammatory granulation tissue, purulent pericolitis | Resection with laparoscopic surveillance | – | No | – | Good |
14 | 12 year 7 months | M | Unknown | N | Sigmoid | – | Bowel stenosis, irregular distribution of blood vessels | Resection with laparoscopic surveillance | – | No | Fistula from bowel to abdominal wall | Good |
15 | 11 year 2 months | M | Unknown (Colitis) | 1 | Sigmoid | 0.5 | Proliferation of mucosal and submucosal layers and mesenteric capillaries | Suture repair | Ileostomy | No | – | Good |
16 | 1Â year 6 months | F | Unknown (Enema) | 1 | Descending | 1.5 | Inflammatory granulation tissue, colitis and pericolitis | Laparoscopic suture repair | Ileostomy | No | Intestinal obstruction | Good |
17 | 6 months | F | Unknown (Immunodeficiency) | N | Ascending, transverse | 0.1 | Mucosa completely detached, tissue structure destroyed | Suture repair | Ileostomy | Yes | Electrolyte imbalance, abnormal blood coaguation function, severe infection | Died |
18 | 6 months | M | Unknown (Suspected NEC) | 1 | Transverse | 1.0 | Necrosis of intestinal wall with peripheral inflammation | Suture repair | Colostomy | No | Sepsis, fungal infection, respiratory failure | Good |