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Mesourachus and colon obstruction.

W Dammert, G Currarino

    Journal of Pediatric Surgery
    |June 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    A rare mesourachus anomaly, where a urachal remnant connects to the abdominal wall, caused severe bowel obstruction in a boy with trisomy 13 syndrome. This case highlights unusual adhesions leading to descending colon blockage, mimicking volvulus.

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    Area of Science:

    • Medical Case Reports
    • Pediatric Surgery
    • Gastrointestinal Anomalies

    Background:

    • The mesourachus is an uncommon congenital anomaly involving the urachal remnant.
    • Large-bowel obstruction due to adhesions is rare in pediatric populations.
    • Trisomy 13 syndrome is associated with various gastrointestinal malformations.

    Observation:

    • An 8-year-old boy with trisomy 13 syndrome and intestinal malrotation presented with severe descending colon obstruction.
    • A segment of the mesourachus was found adhered to the small-bowel mesentery.
    • The adhesion mimicked the clinical presentation of a volvulus.

    Findings:

    • A unique anatomical arrangement involving the mesourachus and small-bowel mesentery caused significant mechanical obstruction of the colon.

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  • This case demonstrates a novel cause of large-bowel obstruction in a pediatric patient with complex congenital conditions.
  • The obstruction was secondary to adhesions involving a urachal remnant.

    • Implications:

    • This case expands the differential diagnosis for pediatric large-bowel obstruction, particularly in patients with congenital anomalies.
    • Understanding rare urachal remnant anomalies is crucial for accurate diagnosis and surgical planning in pediatric gastrointestinal surgery.
    • Highlights the importance of considering unusual adhesions in cases of suspected bowel obstruction, especially in syndromic patients.