Symptomatic mesodiverticular bands in children

Bertozzi, Mirko; Yildiz, Abdullah; Appignani, Antonino

doi:10.1097/01.xps.0000516208.20838.1f

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…This results from various mechanisms. Some of the common mechanisms include Intussusception (where the MD acts as the leading point); volvulus (caused by the small intestine twisting around a fibrous band from the MD to the anterior abdominal wall); and internal herniation (caused by a band attached to another viscus) [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

Congenital ileal-mesenteric fibrous band remnant of the vitelline artery causing small bowel obstruction in an adult female: a case report

Mwila¹,

Odendaal²,

Ahmed³

et al. 2022

Pan Afr Med J

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The vitelline circulation connects the fetus and yolk sac in the first few weeks of fetal development. Its components are the vitelline duct, vitelline arteries and vitelline vein. This gradually breaks down as the placenta grows and overtakes the function of yolk sac as the primary nutrition source. In the event of persistence of these structures, multiple anatomical anomalies can arise such as a Meckel´s diverticulum, fibrous bands and others. We report on a rare finding of an ileal-mesenteric fibrous band remnant of a vitelline artery causing small bowel obstruction in an adult female. Our patient, a 40-year-old female presented with both clinical and radiological signs of small bowel obstruction. She had had no previous abdominal surgery or abdominal trauma. Intraoperatively we found an isolated ileal-mesenteric fibrous band situated at approximately 7 cm from the ileocecal junction. It spanned from the antimesenteric border of the terminal ileum to the border of the mesentery at a 15 cm breadth. In the snare-like loop that was created, part of the small bowel was trapped, creating a strangulated internal hernia which presented as a small bowel obstruction. The fibrous band was transected and the viable small bowel was freed during a laparotomy procedure. The post-operative period was uneventful and the patient was discharged on day 5. A fibrous band should be considered one of the rare causes of small bowel obstruction in a virgin abdomen in adults.

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Section: Discussionmentioning

confidence: 99%

Congenital ileal-mesenteric fibrous band remnant of the vitelline artery causing small bowel obstruction in an adult female: a case report

Mwila¹,

Odendaal²,

Ahmed³

et al. 2022

Pan Afr Med J

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“…зазначали, що відносно довга мезодивертикулярна зв'язка може призвести до защемлення тонкої кишки в широкому віковому діапазонівід дитинства до дорослого віку. На відміну від цього, коротка мезодивертикулярна зв'язка може спричинити непрохідність до або незабаром після народження [1]. Рекомендують розглядати ДМ які імовірну причину інвагінації та інших форм гострої кишкової непрохідності ГКН у дітей, яким раніше не виконували оперативні втручання на органах черевної порожнини і віком від 2 років [3].…”

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Intestinal obstruction caused by Meckel’s diverticulum in children

Ксьонз¹,

Grytsenko²,

Grystenko³

et al. 2021

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Meckel’s diverticulum is the most common variant of anomalies of incomplete obliteration of the yolk duct. Among the various malformations of the digestive tract, which can cause intestinal obstruction, Meckel’s diverticulum ranks first and is 1.7%. Purpose – to generalize the results of treatment of children with intestinal obstruction caused by Meckel’s diverticulum. Materials and methods. The experience of treating 183 children with Meckel’s diverticulum and related pathology is summarized. The main complications of Meckel’s diverticulum were intestinal obstruction, bleeding from a peptic ulcer, diverticulitis. In 100 children, the diverticulum was asymptomatic and was an accidental finding during surgery on the abdominal organs for other pathologies. Results. Intestinal obstruction caused by Meckel’s diverticulum accounted for 20.8% of all cases and 45.7% of all diverticulum-related complications. Strangulative intestinal obstruction was diagnosed in 18 patients: in 16 Meckel’s diverticulum caused internal compression, in 1 – torsion of the loops of the small intestine around the fixed diverticulum, in 1 – nodulation. In 5 observations, Meckel’s diverticulum caused the phenomenon of partial intestinal obstruction. Intussusception was detected in 15 children (small intestinal in 6 cases and ileocecal in 9). Clinical cases demonstrating the difficulties in diagnosing intesti nal intussusception caused by Meckel’s diverticulum in older children and small bowel entrapment in the mesodiverticular ligament are presented. A method of subserous diverticulectomy and one-step decompression of the small intestine was proposed. Conclusions. Meckel’s diverticulum should be considered as a probable cause of acute intestinal obstruction in children older than 2 years and who have not previously undergone surgery on the abdominal organs. In the surgical treatment of pathology caused by Meckel’s diverticulum, it is possible to use one-time decompression of the small intestine by diverticulotomy and subserous removal of the diverticulum. The research was carried out in accordance with the principles of the Helsinki declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: Meckel’s diverticulum, intestinal obstruction, children.

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Symptomatic mesodiverticular bands in children

Cited by 2 publications

References 15 publications

Congenital ileal-mesenteric fibrous band remnant of the vitelline artery causing small bowel obstruction in an adult female: a case report

Congenital ileal-mesenteric fibrous band remnant of the vitelline artery causing small bowel obstruction in an adult female: a case report

Intestinal obstruction caused by Meckel’s diverticulum in children

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