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Appendicular Band Syndrome simulating Appendicular Mass in a Child

Bilal Mirza1, Muhammad Saleem1

  • 1Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health Lahore.

APSP Journal of Case Reports
|November 7, 2014
PubMed

Insights

Appendicular band syndrome, a rare surgical emergency, can cause intestinal obstruction. This case details a 2-year-old boy with strangulated ileum due to an inflamed appendix.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • Appendicular band syndrome is a rare condition causing intestinal obstruction and strangulation.
  • Early diagnosis and surgical intervention are critical for favorable outcomes.

Observation:

  • A 2-year-old boy presented with acute intestinal obstruction and a right iliac fossa mass.
  • Surgical exploration revealed an inflamed appendix entrapping a loop of terminal ileum, causing strangulation and gangrene.

Findings:

  • The patient underwent appendectomy and resection of the gangrenous bowel segment.
  • An ileostomy was created due to the extent of intestinal damage.

Implications:

  • This case highlights the importance of considering rare causes of intestinal obstruction in pediatric patients.
  • Prompt surgical management is essential to prevent complications associated with appendicular band syndrome.

Keywords:
Appendicular BandAppendicular MassKnotStrangulation

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