Large Bowel Obstruction by Anomalous Congenital Band

Kumar, Ameet; Ramakrishnan, T.S.; Sahu, Samaresh

doi:10.1016/s0377-1237(09)80110-x

Cited by 9 publications

(5 citation statements)

References 5 publications

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“…In our case, the band was from the left iliac fossa to the cecum. Similar to our case, most of the cases reported obstruction on the left side of the abdomen between 15 and 150 cm from the ileocecal valve with an average of 120 cm of involved gut, others at the level of the colon (3,5,8,9). These congenital bands can be avascular or vascular; our case was vascular.…”

Section: Discussionsupporting

confidence: 84%

Anomalous Vascular Peritoneal Band Causing Small Bowel Obstruction in an Adult

Nyakirugumi¹,

Nduhiu²

2020

Ann Afr Surg.

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Peritoneal bands resulting in small bowel obstruction in adults are rare. We present a case study of a 39-year-old male who presented with a 10-day history of signs and symptoms of intestinal obstruction. The patient had no history of abdominal trauma or surgery. Intraoperatively, the small bowel obstruction was caused by a vascularized peritoneal band that had a membrane. The band formed a closed loop and caused the small bowel to herniate and lead to mechanical obstruction. In the band was an anomalous artery that connected the ileocolic artery to the descending branch of the left colic artery. The mainstay for diagnosis is an exploratory laparoscopy or laparotomy. The definitive treatment is transection of the band. This is the first reported case in Sub-Saharan Africa. Keywords: Small bowel obstruction, Congenital bands, Peritoneal bands, Vascular bands, Inferior mesenteric artery, Superior mesenteric artery

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Section: Discussionsupporting

confidence: 84%

Anomalous Vascular Peritoneal Band Causing Small Bowel Obstruction in an Adult

Nyakirugumi¹,

Nduhiu²

2020

Ann Afr Surg.

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“…Bands that lack clear acquired or embryological foundations are known as anomalous congenital bands (ACBs). A search of the literature for ACBs that cause large bowel obstruction showed only three cases: one involving a band between the ascending colon and the right lobe of the liver, another involving a congenital mesocolic band that obstructed the sigmoid colon, and a third involving a parietocolic band that blocked the descending colon [ 12 ]. Without surgery, inflammation of the epiploic appendage that has adhered to the abdominal wall or another intra-abdominal structure may be the cause of adhesive obstruction.…”

Section: Discussionmentioning

confidence: 99%

Unusual Triggers of Acute Intestinal Obstruction in Surgical Emergencies: A Series of Five Cases

Singh,

Paruthy,

Kuraria

et al. 2024

Cureus

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Intestinal obstruction is a common surgical emergency that can be caused by mechanical causes or by different pathological processes. The most common cause of small bowel intestinal obstruction is post-operative adhesion, and the most common cause of large bowel obstruction is malignancy. These are classified into dynamic and adynamic types. The patient was selected based on the presentation management plan. Some cases require immediate operative intervention; however, some cases, as mentioned in this case series, require further investigation and a different approach. In this study, we report the rare causes of intestinal obstruction presented to Safdarjung Hospital, Department of General Surgery, New Delhi: one case of foreign body impaction, one case of spontaneous migration of feeding jejunostomy, one case of extrauterine IUCD causing intestinal obstruction, one case of mesentery band causing obstruction, and one case of abdominopelvic mass causing small bowel obstruction. These cases presented to the surgical emergency department with challenges in their diagnosis, intraoperative findings, and their outcomes.

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“…Since this patient had no surgical history of abdominal surgery, with adjunct episode of left-sided lower abdominal pain reported, the possibility of inflammation of epiploic appendages or an occurrence of diverticulitis was the primary suspected cause of the formation of the band [ 3 , 4 ]. In addition, Rathin et al .…”

Section: Discussionmentioning

confidence: 99%

Cecal perforations due to descending colon obstruction (closed loop): a case report and review of the literature

Naiem

Suliman

2022

J Med Case Reports

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Background Cases of large bowel closed-loop phenomenon with cecal perforation are extremely rare, especially when extracolonic epiploic appendage and peritoneal bands are the cause. However, sporadic cases exist in the literature with various presentations, but very few occur in patients in the abdomen without a previous scar. Case presentation An 89-year-old Sudanese farmer was admitted to the emergency department with 9-day history of generalized colicky abdominal pain, abdominal distension, anorexia, persistent vomiting, and constipation. Given his clinical presentation and assessment, he was diagnosed with peritonitis due to a perforated viscus in a virgin abdomen. Operative exploration revealed an extraluminal left-sided omento–epiploic band that resulted in closed-loop colonic obstruction with secondary multiple cecal perforations. Standard right hemicolectomy with adhesiolysis was done. Postoperative wound infection and hypoalbuminemia were treated, and the patient was discharged on postoperative day 9 on a regular oral diet. Conclusions Although this condition is rare, it can be extremely dangerous, requiring prompt investigation and surgical intervention. It usually occurs secondary to raised intraluminal pressure with subsequent ischemia of the cecal wall. Through this case report, we aim to reflect on this rare experience, shedding light on the benign, extracolonic pathologies that can be life threatening or even fatal.

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Large Bowel Obstruction by Anomalous Congenital Band

Cited by 9 publications

References 5 publications

Anomalous Vascular Peritoneal Band Causing Small Bowel Obstruction in an Adult

Anomalous Vascular Peritoneal Band Causing Small Bowel Obstruction in an Adult

Unusual Triggers of Acute Intestinal Obstruction in Surgical Emergencies: A Series of Five Cases

Cecal perforations due to descending colon obstruction (closed loop): a case report and review of the literature

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