Anomalous Vascular Peritoneal Band Causing Small Bowel Obstruction in an Adult

Nyakirugumi, Suzanne; Nduhiu, Mathenge

doi:10.4314/aas.v17i2.10

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…A finding of a single FB stretching from the antimesenteric border of the terminal ileum to the mesenteric edge of the ileum 15 cm apart suggests that it is a remnant of a vitelline artery and not the vitelline duct. In support of this, other authors have also reported an isolated band originating at the terminal ileum without a MD, causing a bowel obstruction [ 9 , 10 ].…”

Section: Discussionsupporting

confidence: 55%

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Congenital ileal-mesenteric fibrous band remnant of the vitelline artery causing small bowel obstruction in an adult female: a case report

Mwila¹,

Odendaal²,

Ahmed³

et al. 2022

Pan Afr Med J

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The vitelline circulation connects the fetus and yolk sac in the first few weeks of fetal development. Its components are the vitelline duct, vitelline arteries and vitelline vein. This gradually breaks down as the placenta grows and overtakes the function of yolk sac as the primary nutrition source. In the event of persistence of these structures, multiple anatomical anomalies can arise such as a Meckel´s diverticulum, fibrous bands and others. We report on a rare finding of an ileal-mesenteric fibrous band remnant of a vitelline artery causing small bowel obstruction in an adult female. Our patient, a 40-year-old female presented with both clinical and radiological signs of small bowel obstruction. She had had no previous abdominal surgery or abdominal trauma. Intraoperatively we found an isolated ileal-mesenteric fibrous band situated at approximately 7 cm from the ileocecal junction. It spanned from the antimesenteric border of the terminal ileum to the border of the mesentery at a 15 cm breadth. In the snare-like loop that was created, part of the small bowel was trapped, creating a strangulated internal hernia which presented as a small bowel obstruction. The fibrous band was transected and the viable small bowel was freed during a laparotomy procedure. The post-operative period was uneventful and the patient was discharged on day 5. A fibrous band should be considered one of the rare causes of small bowel obstruction in a virgin abdomen in adults.

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Section: Discussionsupporting

confidence: 55%

“…CABs are common in the pediatric population where they can cause different clinical presentations ranging from intermittent abdominal pain to bowel obstruction. However, only a few cases have been reported in adults [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

Congenital ileal-mesenteric fibrous band remnant of the vitelline artery causing small bowel obstruction in an adult female: a case report

Mwila¹,

Odendaal²,

Ahmed³

et al. 2022

Pan Afr Med J

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Coexisting Multiple and Complex Peritoneal Variations and Agenesis of Vermiform Appendix

Tiryakioglu¹,

Fahrioğlu²,

Önderoğlu³

et al. 2022

Journal of the Anatomical Society of India

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We have come across a series of variations on our cadaver during routine dissection of the abdominal viscera. The amount and extent of the variations were unexpected in one cadaver, and they were followed one after another as listed: a peritoneal cyst formed by the parietal peritoneum that was stuck to the anterior surface of the right kidney, intraperitoneal duodenum, intraperitoneal ascending colon, partially constricted transverse colon, and several peritoneal strings running in between the various parts of the visceral peritoneum and the parietal peritoneum covering the abdominal wall, unusual location and size of the root of mesentery, and agenesis of the vermiform appendix. Our cadaver's medical history has not shown any surgery; it never showed any scars on the abdominal wall that might have indicated surgical operations. Peritoneal variations and agenesis of vermiform appendix are of great importance during diagnostic monitoring as well as surgical interventions. Extensive peritoneal variations in one patient may cause some extremely critical complications during the peritoneal dialysis, as well as during the laparoscopic approaches. We present these multiple and complex variations in one cadaver with respect to serious clinical complications that may come out because of ignorance of such cases.

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Anomalous Vascular Peritoneal Band Causing Small Bowel Obstruction in an Adult

Cited by 2 publications

References 8 publications

Congenital ileal-mesenteric fibrous band remnant of the vitelline artery causing small bowel obstruction in an adult female: a case report

Congenital ileal-mesenteric fibrous band remnant of the vitelline artery causing small bowel obstruction in an adult female: a case report

Coexisting Multiple and Complex Peritoneal Variations and Agenesis of Vermiform Appendix

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