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

Abstract

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.

Anomalous peritoneal band connecting greater omentum to the ascending colon: a possible cause for dilation of ascending colon

“…Further, these bands had caused obstruction or compression of bowel in 62.5% patients and entrapment of a part of intestine in 37.5% of cases. Bands containing lose connective tissue and blood vessels, causing small bowel obstruction have been reported by Sozen et al [11].…”

Congenital band adhesion causing a proximal jejunal obstruction: an uncommon presentation and diagnosis

“…In that case the patient was diagnosed with the help of CT and successfully treated with a laparoscopic approach. Although laparotomy is often used in the paediatric population, laparoscopic treatment appears safe and has been described in the majority of the adult patients with congenital bands 1 6 7. Recent work has indicated that non-operative management can be appropriate in selected patients with small bowel obstruction with a virgin abdomen which can also be considered but is controversial 8…”

“…Congenital band adhesions are a rare cause of small bowel obstruction in adults 1. The proximal jejunum is infrequently affected by congenital bands according to limited published cases,1–3 with the ileum representing the most commonly affected site. Delayed diagnosis of mechanical obstruction can lead to irreversible bowel ischaemia or perforation, and presents a surgical emergency.…”

A case report of small bowel obstruction secondary to congenital peritoneal band in adult

“…There have been few series and some case reports in the literature. Congenital Peritoneal bands cause 3% of all intestinal obstruction and almost always lead to small bowel obstruction [3]. Their occurrence in adults is an extremely rare condition [4].…”