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Sigmoid adhesion caused by a congenital mesocolic band
Insights
A rare congenital mesocolic band caused large-bowel obstruction in an infant. Surgical lysis of the band resolved the obstruction, and the infant recovered fully.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Development
- Congenital Anomalies
Background:
- Congenital mesocolic bands are rare developmental anomalies of the mesentery.
- Large-bowel obstruction in children is uncommon, especially due to adhesions or congenital bands.
Observation:
- A 6-month-old infant presented with persistent crying, indicative of severe discomfort.
- Diagnostic imaging, including barium enema, revealed external compression of the sigmoid colon.
Findings:
- Laparotomy identified an adhesive mesocolic band constricting the proximal sigmoid colon.
- The congenital band was surgically lysed, relieving the intestinal obstruction.
Implications:
- This case highlights the importance of considering rare congenital anomalies in pediatric bowel obstruction.
- Successful surgical intervention for congenital mesocolic bands can lead to complete patient recovery.
- Early diagnosis and treatment are crucial for managing pediatric gastrointestinal obstructions.
Abstract:
Congenital mesocolic band is an uncommon aberration in the development of the mesentery. Large-bowel obstruction secondary to adhesion and/or congenital band is very rare in children. A 6-month-old male infant who had no history of previous surgery was admitted with unremitting crying. A barium enema showed extraintestinal compression of the sigmoid colon. Laparotomy revealed an adhesive mesocolic band compressing the proximal part of the sigmoid colon. The band was lysed. The patient has remained asymptomatic since the procedure.