Anomalous congenital bands causing intestinal obstruction in children

Large Bowel Obstruction by Anomalous Congenital Band

“…ACBs are bands that have no identifiable embryological or acquired basis. A literature search for ACBs causing large bowel obstruction yielded only three cases -that of a band between right lobe of liver and ascending colon [2], a case of congenital mesocolic band causing sigmoid colon obstruction [3] and another case of a parietocolic band obstructing the descending colon. [4].…”

“…ACBs, as in our case, are not associated with malrotation and contain blood vessels. These bands may represent a congenital mesenteric anomaly [2].…”

“…The main T T causes of large bowel obstruction are malignancy, volvulus, diverticulae, inflammatory bowel disease and pseudo-obstruction [1]. Anomalous congenital bands (ACB) causing large bowel obstruction is a rare occurrence and to best of our knowledge, only three such cases has been reported in literature [2][3][4]. There is no report of congenital band causing both large bowel obstruction and jejunal ischemia.…”

Congenital Peritoneal Band Causing Bowel Ischaemia Post Caesarean Section: A Rare Occurrence

“…CPB can also occur in multiple locations within the same patient (13). An intestinal obstruction is caused by one of three mechanisms: compression of the bowel (57.1%), partial volvulus (28.6%), or the least common type as entrapment of an intestinal loop between the band and mesentery (14.3%), as happened in our case (12). The possible reason for such an incident in our patient could be due to the entrapment of bowel during cleaning of the paracolic gutter after suturing of the second myometrial layer during caesarean section.…”

“…In the series by Akgür et al (12), the most common band location was between the ascending colon and the terminal ileum, followed by the ligament of Treitz and the mesentery of the terminal ileum. The CPB in this patient was found extending between the right fimbria end and the small bowel mesentery.…”