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Published on: March 5, 2018
Small Bowel Obstruction due to Anomalous Congenital Bands in Children
Basak Erginel1, Feryal Gun Soysal1, Huseyin Ozbey1
1Department of Pediatric Surgery, Istanbul Medical Faculty, Istanbul University, 34093 Istanbul, Turkey.
Insights
Congenital anomalous bands are a rare but significant cause of intestinal obstruction in children. Early surgical intervention is crucial for successful outcomes, even in cases of intestinal necrosis.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Intestinal obstruction in children can stem from various causes.
- Congenital anomalous bands represent a rare etiology, often posing diagnostic challenges.
Purpose of the Study:
- To evaluate pediatric cases of intestinal obstruction caused by anomalous congenital bands.
- To enhance awareness of this rare condition among healthcare professionals.
Main Methods:
- Retrospective review of medical records for fourteen children.
- Surgical treatment for intestinal obstructions due to anomalous congenital bands.
Main Results:
- Multiple locations of congenital bands identified, commonly involving the colon, small intestine, and their mesenteries.
- Successful band excision in most patients; two required resection anastomosis due to intestinal necrosis.
Conclusions:
- Congenital anomalous bands, though rare, must be considered in the differential diagnosis of pediatric intestinal obstruction.
- Prompt surgical management is key for addressing obstructions caused by these bands.
Abstract:
Introduction. The aim of the study was to evaluate our children who are operated on for anomalous congenital band while increasing the awareness of this rare reason of intestinal obstruction in children which causes a diagnostic challenge. Patients and Methods. We retrospectively reviewed the records of fourteen children treated surgically for intestinal obstructions caused by anomalous congenital bands. Results. The bands were located between the following regions: the ascending colon and the mesentery of the terminal ileum in 4 patients, the jejunum and mesentery of the terminal ileum in 3 patients, the ileum and mesentery of the terminal ileum in 2 patients, the ligament of Treitz and mesentery of the jejunum in one patient, the ligament of Treitz and mesentery of the terminal ileum in one patient, duodenum and duodenum in one patient, the ileum and mesentery of the ileum in one patient, the jejunum and mesentery of the jejunum in one patient, and Meckel's diverticulum and its ileal mesentery in one patient. Band excision was adequate in all of the patients except the two who received resection anastomosis for intestinal necrosis. Conclusion. Although congenital anomalous bands are rare, they should be considered in the differential diagnosis of patients with an intestinal obstruction.
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