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Jejunal obstruction due to jejunocolic congenital band in a 12-year-old child: a case report

Gulan Maree1, Ali Alelayan2, Ferhad Hemi2

  • 1Pediatric Surgery Department, Tishreen University Hospital, Lattakia, Syria. gulan.maree.89@gmail.com.

Journal of Medical Case Reports
|November 11, 2022
PubMed

Insights

A rare congenital band caused a small intestinal obstruction in a child, extending from the descending colon to the jejunum. Surgical excision of the band resolved the obstruction without needing intestinal resection.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Medical Case Reports

Background:

  • Congenital bands are rare gastrointestinal abnormalities.
  • Intestinal obstruction due to congenital bands is exceptionally uncommon in pediatric patients.
  • This case represents a unique congenital band extending from the descending colon to the jejunum.

Observation:

  • A 12-year-old patient presented with symptoms of intestinal obstruction.
  • Upper gastrointestinal contrast radiography identified the obstruction's location.
  • Intraoperative findings revealed a congenital band entrapping a jejunal loop.

Findings:

  • A congenital band originating from the descending colon mesentery and extending to the jejunal mesentery was identified.
  • The band caused a small intestinal obstruction by entrapping a loop of jejunum.
  • The congenital band was successfully excised, resolving the obstruction without requiring intestinal resection.

Implications:

  • Congenital bands, though rare, should be considered in the differential diagnosis of pediatric intestinal obstruction.
  • Preoperative diagnosis of such anomalies can be challenging.
  • Surgical intervention, specifically band excision, is the definitive treatment for this condition.
Abstract

Keywords:
Congenital bandIntestinal obstructionJejunum

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