How to avoid unnecessary surgical treatment for neonatal small left colon syndrome

Taro Ikeda, Shumpei Goto, Takashi Hosokawa, Toshiki Rikiyama, Shigeharu Hosono, Kenjiro Takagi

Research output: Contribution to journalArticlepeer-review


We report a case of neonatal small left colon syndrome (NSLCS) that underwent surgery. A female infant was born at 38 weeks of gestation. The mother had gestational diabetes requiring insulin therapy. The baby was admitted for respiratory distress. Abdominal distension was observed, and the gastric residue increased. Contrast enema revealed a small caliber of the left colon up to the splenic flexure. At 14 days, the full-thickness biopsy of the sigmoid and transverse colons was performed. Pathological diagnosis showed that the sigmoid colon had few ganglion cells, therefore the transverse colostomy was performed. At 6 months of age, a rectal biopsy was performed to confirm the diagnosis of Hirschsprung's disease; the intestinal plexus and ganglion cells were normal. The surgery was changed from a pull-through to a stoma closure. The postoperative diagnosis was NSLCS, and the course up to 3 years was good without defecation or growth problems.

Original languageEnglish
Article numberrjab072
JournalJournal of Surgical Case Reports
Issue number4
Publication statusPublished - 1 Apr 2021
Externally publishedYes


  • functional gastrointestinal obstruction
  • gestational diabetes
  • Hirschsprung's disease
  • neonate


Dive into the research topics of 'How to avoid unnecessary surgical treatment for neonatal small left colon syndrome'. Together they form a unique fingerprint.

Cite this