Peritonealized urachal remnant and obstructive congenital peritoneal band. A case report
L M Figueroa1, G Escobar1, J Osorno1
1Pediatric Surgery Unit. Surgery Department. Del Valle University. Del Valle University Hospital. Cali, Valle del Cauca (Colombia).
Insights
A rare case of intestinal obstruction in a child caused by a congenital peritoneal band involving a urachal remnant and Meckel
Area of Science:
- Pediatric Surgery
- Surgical Pathology
- Embryology
Background:
- Congenital peritoneal bands rarely cause intestinal obstruction, typically affecting the small bowel.
- Involvement of the appendix or Meckel's diverticulum by congenital bands is documented.
- Peritonealized urachal remnants forming congenital bands are exceptionally uncommon.
Introduction:
Intestinal obstruction as a result of congenital peritoneal bands is rare in surgical practice. It typically compromises the small bowel, and it also has been reported to involve the appendix or a Meckel's diverticulum. However, peritonealized urachal remnant as part of a congenital band is highly infrequent.
Case Report:
5-year-old boy presenting with intestinal obstruction related to a peritoneal band from the mesentery to the appendix and a peritonealized urachal remnant, associated with an incidental finding of a Meckel's diverticulum. Diagnosis was achieved laparoscopically. The peritoneal band, the urachal remnant, and the Meckel's diverticulum were resected.
Discussion:
Kerkeni's congenital band classification consists of 4 independent groups. This case combines both a band stemming from an embryological remnant and an idiopathic band.
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