[Congenital mesenteric band simulating a small-bowel volvulus in a mesenteric rotation anomaly]

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Congenital Anomalies

Background:

• Intestinal obstruction in children can stem from various causes.
• Congenital mesenteric bands are an uncommon etiology for such obstructions.
• Diagnosis can be challenging, especially in infants without a surgical history.

Purpose of the Study:

• To report a case of upper gastrointestinal obstruction caused by a congenital mesenteric band.
• To discuss the diagnostic challenges in a pediatric patient with no prior surgical history.
• To emphasize the importance of considering rare congenital anomalies in pediatric intestinal obstruction.

Main Methods:

• Case report of a 2-year-old child presenting with symptoms of upper gastrointestinal obstruction.
• Clinical evaluation, diagnostic imaging (e.g., upper GI series, CT scan), and surgical findings were reviewed.
• Focus on the diagnostic process in the absence of a surgical history.

Main Results:

• A jejunal congenital mesenteric band was identified as the cause of the obstruction.
• The obstruction was successfully relieved through surgical intervention.
• The case underscores the potential for congenital bands to cause significant gastrointestinal issues.

Conclusions:

• Congenital mesenteric bands, though rare, must be considered in the differential diagnosis of pediatric intestinal obstruction.
• Early and accurate diagnosis is crucial for timely surgical management and improved outcomes.
• This case highlights the diagnostic difficulties when no prior surgical history is present.