Small Bowel Obstruction Caused by a Congenital Jejuno-jejuno Band in a Child

Abstract

A case of small bowel obstruction in a 4-year-old boy with pica is described. The child habitually chewed on his plastic toy action figures. Abdominal radiography and endoscopy confirmed the presence of chewed pieces of plastic within the digestive tract. At surgery, the cause of the obstruction was found to be an internal hernia involving a congenital fibrous band connecting 2 segments of the jejunum and unrelated to pica. Intestinal obstruction caused by foreign bodies is extremely rare, and obstruction caused by congenital bands is even more uncommon. This particular variant of a congenital band has not been previously described. Physicians should be aware that congenital bands can cause small bowel obstruction in children and that surgical treatment is required.

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

“…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.…”

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

“…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).…”

“…Our literature review found only 10 reports, with a total of 32 cases; only one case has been previously reported in the emergency medicine literature (5). Complications of such bands often first present to an emergency physician, and if not identified early enough, can lead to life-threatening situations (6)(7)(8)(9).…”

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

“…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].…”