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Published on: October 29, 2014
Acute small bowel obstruction caused by a fan-shaped congenital band in a child: a case report
Qingnan Lan1, Jianhua Zhong1, Yi Wang1
1Department of Pediatric Surgery, Dongguan Children's Hospital, Dongguan, China.
Insights
A rare fan-shaped congenital band caused a small bowel obstruction (SBO) in a child. Surgical excision of the band resolved the obstruction without complications, highlighting the importance of considering congenital bands in diagnosis.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Medical Imaging
Background:
- Congenital bands are rare gastrointestinal anomalies.
- Intestinal obstruction due to congenital bands is uncommon in pediatric patients.
- Fan-shaped congenital bands causing small bowel obstruction have not been previously reported.
Observation:
- A 13-year-old female presented with symptoms of small bowel obstruction (SBO).
- Imaging studies including X-ray and CT confirmed the obstruction.
- Exploratory laparotomy revealed a unique, wide, fan-shaped congenital band compressing the ileum.
Findings:
- The congenital band was identified as the cause of the SBO.
- The band was successfully excised during surgery.
- No bowel resection was necessary, and the patient recovered without complications.
Implications:
- This case highlights a unique presentation of SBO caused by a congenital band.
- Accurate pre-operative diagnosis of congenital bands can be challenging.
- Congenital bands should be included in the differential diagnosis for pediatric intestinal obstruction.
Abstract:
Congenital bands are rare abnormal structures that can occur anywhere in the gastrointestinal tract, and intestinal obstruction caused by these bands is uncommon in children. To our knowledge, there have been no reported cases of small bowel obstruction (SBO) resulting from a wide, fan-shaped congenital band located on the surface of the ileum and mesentery. We present the case of a 13-year-old girl who developed SBO due to a unique fan-shaped band that compressed a segment of the ileum. The diagnosis of intestinal obstruction was confirmed through x-ray and CT imaging, and the location and cause of the obstruction were further elucidated during exploratory laparotomy. The band was excised, with no bowel resections required. Congenital or spontaneous bands are rare causes of bowel obstruction, and accurately diagnosing this condition prior to surgery can be challenging. When considering the potential causes of intestinal obstruction, it is crucial to include congenital bands in the differential diagnosis.
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