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Anomalous mesenteric vessel-a rare etiology of intermittent partial small bowel obstruction

Natasha Hansraj1, Shannon M Larabee1, Kimberly M Lumpkins2

  • 1Division of Pediatric Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.

Journal of Surgical Case Reports
|December 3, 2016
PubMed

Insights

An unusual blood vessel caused recurrent abdominal pain and vomiting in an 11-year-old. This remnant vessel from the omphalomesenteric duct led to temporary small bowel obstruction, highlighting the need for thorough pediatric diagnosis.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Vascular Anomalies

Background:

  • Recurrent abdominal pain and vomiting are common in children.
  • Differential diagnosis can be challenging, requiring consideration of rare causes.

Observation:

  • An 11-year-old presented with recurrent episodes of abdominal pain and vomiting.
  • Diagnostic laparoscopy revealed an anomalous blood vessel partially encircling the small bowel.

Findings:

  • The anomalous vessel caused transient partial small bowel obstruction.
  • This vascular anomaly is likely a remnant of the omphalomesenteric duct.

Implications:

  • This case underscores the importance of considering unusual vascular anomalies in pediatric patients with recurrent abdominal symptoms.
  • A comprehensive diagnostic approach is crucial for accurate diagnosis and management.

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