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Related Experiment Videos

Neonatal intestinal obstruction from omphalomesenteric duct remnants.

G Gaisie, J T Curnes, J H Scatliff

    AJR. American Journal of Roentgenology
    |January 1, 1985
    PubMed
    Summary

    Omphalomesenteric band obstruction in infants can cause small-bowel volvulus and obstruction. This condition, often presenting with varied radiographic signs, requires surgical intervention to prevent complications like bowel necrosis.

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    Area of Science:

    • Pediatric Surgery
    • Gastrointestinal Motility Disorders
    • Congenital Anomalies

    Background:

    • Omphalomesenteric band remnants are a known cause of intestinal obstruction in infants.
    • Early diagnosis and surgical management are crucial for favorable outcomes.

    Observation:

    • Three cases of omphalomesenteric band obstruction presented with diverse radiographic findings.
    • All three infants developed small-bowel volvulus requiring surgical correction.
    • One infant experienced bowel necrosis and portal venous gas, indicating severe complications.

    Findings:

    • A review of 135 cases confirmed that closed-loop obstruction, often with volvulus, is the most frequent complication of remnant bands.
    • Radiographic presentations can be varied, including intermittent obstruction.

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    Implications:

    • Understanding the varied presentations of omphalomesenteric band obstruction is vital for timely diagnosis.
    • Prompt surgical intervention for volvulus secondary to remnant bands can prevent catastrophic complications.
    • This highlights the importance of considering remnant bands in the differential diagnosis of neonatal intestinal obstruction.