Jejunal obstruction due to jejunocolic congenital band in a 12-year-old child: a case report

Abstract

Background A congenital band is an uncommon abnormality that can be found anywhere along the gastrointestinal tract. Intestinal obstruction caused by an anomalous congenital band is very rare in children. To the best of our knowledge, no cases of congenital bands extending from the descending colon to the jejunum have been reported in the English literature Case presentation Herein, we present the case of a 12-year-old Syrian patient with intestinal obstruction due to a congenital band extending from the mesentery of the descending colon to the mesentery of the jejunum with an entrapped loop of jejunum between the band and the mesentery. The location of the obstruction was determined by upper gastrointestinal contrast radiography, but the cause of the obstruction was diagnosed intraoperatively. The band was excised without intestinal resection. Conclusion Prediagnosis of congenital bands can be challenging, and surgery is required. When making a bowel obstruction differential diagnosis, it is important to keep this type of band in mind.

Small bowel obstruction in a 29‐year‐old male with congenital peritoneal bands: A rare case report from Syria

“…Wu et al recently reported that laparoscopy in the diagnosis and treatment of a congenital band may be safe and feasible. 3,[12][13][14] The treatment consists of resecting the band and if necessary, resecting a necrotic small bowel loop. [15][16][17] By reporting this case, we emphasize the importance of considering CPBs in the differential diagnosis of bowel obstruction, particularly when patients lack typical risk factors.…”

“…recently reported that laparoscopy in the diagnosis and treatment of a congenital band may be safe and feasible. 3 , 12 , 13 , 14 The treatment consists of resecting the band and if necessary, resecting a necrotic small bowel loop. 15 , 16 , 17 …”

“…1,2 Radiography and computed tomography scans are valuable in distinguishing various diseases, but they do not provide a definitive diagnosis for intestinal obstruction resulting from a congenital band. 3 When assessing CPBs, it's essential to consider Meckel's diverticulum, a congenital abnormality resulting from the improper absorption of the yolk sac in the intestine. Occasionally, the yolk arteries can turn into mesodiverticular bands (MDB), leading to symptomatic Meckel's diverticulum and subsequent intestinal obstruction.…”

“…Radiography and computed tomography scans are valuable in distinguishing various diseases, but they do not provide a definitive diagnosis for intestinal obstruction resulting from a congenital band. 3 …”

Small bowel obstruction in a 29 -year-old male with congenital peritoneal bands : A rare case report from Syria.

“…[1] Laparotomy has traditionally been recommended, but with the advent of minimally invasive surgery, laparoscopy has been proposed as an alternative. Wu et al recently reported that laparoscopy in the diagnosis and treatment of a congenital band may be safe and feasible [3]. The treatment consists of resecting the band and if necessary, resecting a necrotic small bowel loop.…”