Anomalous congenital band: a rare cause of intestinal obstruction and failure to thrive

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Barlas Etensel1, Sezen Ozkisacik, Firuzan Döger

  • 1Department of Pediatric Surgery, Adnan Menderes University, Tip Fakültesi, Cocuk Cerrahisi Anabilim Dali, 09100 Aydin, Turkey. betensel@adu.edu.tr

Pediatric Surgery International
|October 21, 2005
PubMed

Insights

A rare congenital band caused acute intestinal obstruction in a child. Surgical resection of this anomalous mesenteric remnant resolved the condition, highlighting a unique cause of pediatric bowel obstruction.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Anomalies

Background:

  • Intestinal obstruction in children is uncommon.
  • Congenital bands causing obstruction are exceedingly rare in pediatric patients.

Observation:

  • A 7-year-old boy presented with acute intestinal obstruction.
  • He had a history of mild abdominal distention and failure to thrive since infancy.
  • Laparotomy revealed an ileal loop compressed by an anomalous band from the ileum to the sigmoid mesentery.

Findings:

  • The anomalous band was identified as a mesenteric remnant.
  • Histological examination showed loose connective tissue with mature vessels.
  • Surgical resection of the band successfully treated the obstruction.

Implications:

  • This case highlights a rare cause of pediatric intestinal obstruction.
  • Anomalous congenital bands should be considered in the differential diagnosis of unexplained bowel obstruction in children.
  • Early diagnosis and surgical intervention are crucial for favorable outcomes.

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