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Updated: May 14, 2026

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Published on: March 5, 2018
Intestinal obstruction from congenital bands at the proximal jejunum: a case report and literature review
Debkumar Sarkar1, Preetam Gongidi, Thomas Presenza
1Department of Radiology, Cooper University Hospital, 1 Cooper Plaza, Ste B-23, Camden, NJ, USA.
Insights
Congenital anomalous bands causing proximal jejunal obstruction are rare. This case highlights their presentation in an 8-year-old girl, emphasizing imaging and surgical findings.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Radiology
- Developmental Biology
Background:
- Congenital anomalous bands causing proximal jejunal obstruction are rare, with limited literature describing their occurrence.
- Understanding the embryological basis is crucial for diagnosing and managing these rare pediatric gastrointestinal anomalies.
Observation:
- An 8-year-old girl presented with a nine-month history of intermittent vomiting, with no prior surgical history.
- Diagnostic workup included abdominal ultrasound, upper gastrointestinal series, and computed tomography of the abdomen and pelvis.
Findings:
- Surgical exploration identified dense anomalous bands at the proximal jejunum.
- No evidence of intestinal malrotation was found in conjunction with the bands.
Implications:
- This case underscores the importance of considering congenital anomalous bands in the differential diagnosis of pediatric small bowel obstruction.
- Comprehensive radiologic evaluation using various imaging modalities is essential for accurate diagnosis.
- Surgical intervention remains the definitive treatment for relief of obstruction caused by these bands.
Abstract:
Congenital anomalous bands at the proximal jejunum resulting in obstruction have been described sporadically in the literature and are otherwise rare. We present a case of an 8 year-old girl with a nine-month history of intermittent vomiting and no history of prior surgery. The imaging workup includes an abdominal ultrasound, a single contrast upper gastrointestinal series, and a dual contrast computed tomography of the abdomen and pelvis. Surgical intervention revealed the presence of dense bands at the proximal jejunum without evidence of malrotation. Our report reviews the embryology and radiologic findings of this entity using different imaging modalities.
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