Obstruction of the proximal jejunum by an anomalous congenital band—a case report

Liu, Chinsu; Wu, Tzee-Chung; Tsai, Hung-Pei; Chin, Taiwai; Wei, Changyuan

doi:10.1016/j.jpedsurg.2004.11.008

Cited by 31 publications

(25 citation statements)

References 5 publications

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“…What is nearly universal is that when patients present at the initial evaluation, they tend to have signs and symptoms indicative of intestinal obstruction, such as a tender, distended abdomen, no bowel movements, and a history of vomiting or poor appetite. Newborns and infants my have irritability, vomiting, or poor feedings (12,13). Patients older than 2 years of age typically have a history of chronic abdominal pain, which would be consistent with our patient, who also had a history of what was thought to be constipation causing abdominal pain (6).…”

Section: Discussionsupporting

confidence: 81%

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Constipation in a 7-year-old Boy: Congenital Band Causing a Strangulated Small Bowel and Pulseless Electrical Activity

Fang

Carnell

Stein

2012

The Journal of Emergency Medicine

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Section: Discussionsupporting

confidence: 81%

“…An SBO caused by a congenital band is an exceedingly rare condition and, thus, the incidence is unclear. Our literature review found only 32 reported cases of congenital bands, and only one was reported in an emergency medicine journal (5)(6)(7)(8)(9)(11)(12)(13)(14)(15).…”

Section: Discussionmentioning

confidence: 99%

Constipation in a 7-year-old Boy: Congenital Band Causing a Strangulated Small Bowel and Pulseless Electrical Activity

Fang

Carnell

Stein

2012

The Journal of Emergency Medicine

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“…The other end of the band was attached to the ascending colon in four cases, the Treitz' ligament in two cases, and the right lobe of the liver in two children (3). several locations have been described including rim of the iliac fossa to the sigmoid mesocolon (6), jejunum to jejunum (8), ileum to the sigmoid mesentery (9), root of the mesentery to jejunum (10,11), terminal ileum to the mesoappendix (12) and Ladd's bands arising from the caecum going across the duodenum to the parietal peritoneum in the right hypochondrium.…”

Section: Discussionmentioning

confidence: 99%

Small bowel obstruction due to anomalous congenital peritoneal bands – case series in adults

Sözen¹,

Emir²,

Yazar³

et al. 2012

BLL

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Abstract:Background: Congenital bands cause 3 % of all intestinal obstruction and almost always lead to small bowel obstruction. In adults, obstruction due to bands is even rarer. Materials and methods: A multicenter study in Turkey. From January 2000 to December 2010 inclusive -a period of 10 years -all adult patients admitted to the emergency departments with a clinical diagnosis of acute intestinal obstruction due to congenital peritoneal band were included in the study. Surgery was defi ned as emergency. Recorded operative fi ndings included the site of obstruction, and the operative procedure to relieve it. In the present study, the fi ndings in adult patients with congenital band reported in the literature together with fi ndings in ten cases operated at four center were retrospectively assessed with respect to their demographic, preoperative, peroperative, and postoperative characteristics. Results: There were 8 males and 2 females aged between 18 and 72 year. There were no history of abdominal or inguinal surgery. Plain abdominal X-rays radiography revealed air-fl uid levels in all patients. All the bands were ligated and divided. On histopathological examination, the bands were composed of loose connective tissue containing blood vessels. There were no calcifi cation in the bands. Conclusion: an anomalous congenital band could be included in the differantial diagnosis of intestinal obstruction. This clinical situation requires early surgical intervention that will be diagnostic and therapeutic (Tab. 1, Fig. 4, Ref. 21). Full Text in PDF www.elis.sk.

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“…A congenital band can be single vascular band or multiple dense or adhesive bands like our case [6][7][8][9]. According to previous related reports in the literatures, terminal ileum is the most common at the level of obstruction [4,6,7,[10][11][12]. SBO is mostly caused by compression of the bowel by the band, and may develop in case that intestinal loop is trapped band and the mesentery [2,12].…”

Section: Discussionmentioning

confidence: 95%

Small Bowel Obstruction Caused by an Aberrant Congenital Band in a Child

Kwak

Kang

Kim

et al. 2012

Pediatr Gastroenterol Hepatol Nutr

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Small bowel obstruction due to congenital band is not only rare in children, but also difficult to diagnose, because common symptoms such as vomiting and abdominal pain are observed in patients. In order to prevent a fatal result, an anomalous congenital band should be considered in the discriminative diagnosis of intestinal obstruction in children who have no previous experience of operation or intraperitoneal inflammation. This report presents a 4-year-old boy who was admitted with abdominal pain and nonbilious vomiting for a day. The initial suspicion was for acute gastroenteritis. However, after further investigation and performance of surgery, the intestinal obstruction associated with a congenital band was confirmed. No recurrence was observed during the 8-month follow-up period. Thus early confirmation based on radiologic study is a crucial factor for the diagnosis of small bowel obstruction caused by a congenital band. (Pediatr Gastroenterol Hepatol Nutr 2012; 15: 188∼192)

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Obstruction of the proximal jejunum by an anomalous congenital band—a case report

Cited by 31 publications

References 5 publications

Constipation in a 7-year-old Boy: Congenital Band Causing a Strangulated Small Bowel and Pulseless Electrical Activity

Constipation in a 7-year-old Boy: Congenital Band Causing a Strangulated Small Bowel and Pulseless Electrical Activity

Small bowel obstruction due to anomalous congenital peritoneal bands – case series in adults

Small Bowel Obstruction Caused by an Aberrant Congenital Band in a Child

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