Congenital anomaly band, a rare cause of intestinal obstruction in children. Case report

Galván-Montaño, Alfonso; Trejo-Ávila, Mario; García-Moreno, Silvia; González, Araceli Pérez

doi:10.1016/j.circen.2015.10.018

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…Reports concerning an intestinal obstruction with such bands are sporadic. There are 40 cases of ICB described in the pediatric literature ( Table 2 ), 16 case reports [ 2 , 7 , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] ] and two series of respectively 8 [ 1 ] and 14 cases [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

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Idiopathic congenital anomalous bands

Kerkeni

Aicha

Hamzaoui

2020

International Journal of Pediatrics and Adolescent Medicine

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Background and Objectives: Purpose There are various causes and associated conditions in anomalous bands. Idiopathic congenital anomalous bands are extremely rare. The use of the term “congenital bands” may, in reality, not describe the same situation. The study aims to report our series of idiopathic anomalous bands and proposes an accurate and consistent classification of anomalous bands in order to clarify the origin of each band. Methods This study, conducted from January 2005 to January 2018, included all patients admitted to the emergency departments with a clinical diagnosis of intestinal obstruction resulting from bands that have no identifiable embryological or acquired basis called “idiopathic”. Recorded operative findings included the site of obstruction and the operative procedure to relieve it. Results The sample consists of seven boys and three girls with age range from one day to 9 years with symptoms and signs indicative of intestinal obstruction. Surgical intervention was performed, and intraoperative findings revealed a thick and vascularized idiopathic band, in different locations, which was responsible for intestinal obstruction in all patients. Clinical courses were uneventful in eight cases. Conclusion Idiopathic anomalous congenital bands causing intestinal obstruction are not frequently encountered in surgical practice and these bands are often difficult to classify and define. We believe that our new classification is a practical communication tool for medical professionals to summarize and clarify the different types of anomalous bands.

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Section: Discussionmentioning

confidence: 99%

“…[ 7 ] 2 months Ascending colon 1 A. Galvan-Montano et al. [ 17 ] 1year Ileum 1 Nouira et al. [ 18 ] 3 years Ileum 2 Chang YT et al.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic congenital anomalous bands

Kerkeni

Aicha

Hamzaoui

2020

International Journal of Pediatrics and Adolescent Medicine

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“…These bands can cause extrinsic compression or entrapment of bowel. This can be intermittent due to twisting and untwisting of bowel around the band [ 6 – 10 ]. Management can be laparoscopic or open ligation of the band.…”

Section: Discussionmentioning

confidence: 99%

Anomalous mesenteric vessel—a rare etiology of intermittent partial small bowel obstruction

2016

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We report a case of an 11-year with recurrent episodes of abdominal pain and vomiting. Diagnostic laparoscopy during a severe episode demonstrated an anomalous blood vessel incompletely encircling the bowel, leading to transient partial small bowel obstruction. This likely represents a remnant vessel from the omphalomesenteric duct. Recurrent abdominal pain and vomiting in the pediatric population requires careful history and physical exam, and a willingness to entertain unusual diagnoses.

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“…A broad diameter suture generates an inflammatory stimulus greater than that of a lighter calibre braided suture, exacerbating the risk of infection. Nevertheless, according to the same author, a network of smaller calibre rather than a mono-filament suture would always cause an increased risk of adhesions [ 32 , 33 ]. A comparison was also made between absorbable and non-absorbable but the evidence on this in the literature is controversial, since on one hand a non-absorbable suture generates a stimulus phlogogenic that is almost constant, while on the other hand it is now universally accepted that the neogenesis of adhesions reaches its peak at about 48 hours after the insult, then decreases and remains constant for about three months thereafter.…”

Section: Postoperative Adhesionsmentioning

confidence: 99%

“…Since 5-8 days are needed for the reconstruction of mesothelial surfaces, a crystalloid solution should be well absorbed before the completion of fibrin deposition and the formation of adhesions. From a theoretical point of view, it is not expected that the intraperitoneal instillation may prevent the formation of adhesions; this is because studies have shown that a reformation of adhesions occur in approximately 80% of patients who received crystalloid instillation [ 24 , 32 , 33 ]. If used in surgery, laparotomy or laparoscopy, the risk of leaving a large volume of fluid in the abdomen can substantially reduce the ability of the host to eliminate the infections.…”

Section: Management and Preventive Strategies For Adhesionsmentioning

confidence: 99%

Prevention and treatment of peritoneal adhesions in patients affected by vascular diseases following surgery: a review of the literature

Rocca

Aprea

Surfaro³

et al. 2016

Open Medicine

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AbstractIntra-abdominal adhesions are the most frequently occurring postoperative complication following abdomino-pelvic surgery. Abdominal and pelvic surgery can lead to peritoneal adhesion formation causing infertility, chronic pelvic pain, and intestinal obstruction. Laparoscopy today is considered the gold standard of care in the treatment of several abdominal pathologies as well as in a wide range of vascular diseases. Laparoscopy has several advantages in comparison to open surgery. These include rapid recovery times, shorter hospitalisation, reduced postoperative pain, as well as cosmetic benefits. The technological improvements in this particular surgical field along with the development of modern techniques and the acquisition of specific laparoscopic skills have allowed for its wider utilization in operations with fully intracorporeal anastomoses. Postoperative adhesions are caused by aberrant peritoneal healing and are the leading cause of postoperative bowel obstruction. The use of anti-adherence barriers is currently being advocated for their prevention. The outcome of the investigation showed adhesion formation inhibition without direct detrimental effects on anastomotic healing. Poor anasto-motic healing can provoke adhesions even in the presence of anti-adhesion barriers. This review gives a short overview on the current evidence on the pathophysiology and prevention of peritoneal adhesions.

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Congenital anomaly band, a rare cause of intestinal obstruction in children. Case report

Cited by 4 publications

References 10 publications

Idiopathic congenital anomalous bands

Idiopathic congenital anomalous bands

Anomalous mesenteric vessel—a rare etiology of intermittent partial small bowel obstruction

Prevention and treatment of peritoneal adhesions in patients affected by vascular diseases following surgery: a review of the literature

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