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2020, Number 4

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Rev Mex Pediatr 2020; 87 (4)

Intestinal chronic obstruction by congenital band in a preschool patient

Márquez-Bayona K, Anaya-Pinzón KS, Zárate-Suárez LA

Language: Spanish
References: 14
Page: 146-149
PDF size: 241.90 Kb.


ABSTRACT

Introduction: Congenital abnormal bands (CAB) have different abdominal manifestations in children. Diagnosis and treatment are surgical. Clinical case: A five-year-old patient with history of episodes of intestinal obstruction from 16 months of age, which were resolved by conservative management, despite requiring hospitalization. Hirschsprung's disease was suspected, but studies were not performed to confirm the diagnosis. For acute abdomen was taken to surgery; during the procedure we found a CAB, which caused internal hernia and dilated intestinal loops. We proceeded to perform the CAB resection and end-to-side anastomosis. Subsequently, the patient had adequate clinical evolution. Conclusions: The diagnosis of CAB can be difficult, given the nonspecific clinical picture and because imaging studies are not useful. Thus, CAB should be part of the differential diagnosis in children with evidence of intestinal obstruction.


REFERENCES

  1. Galván-Montaño A, Trejo-Ávila M, García-Moreno S, Pérez A. Banda congénita anómala una patología rara de obstrucción intestinal en niños. Caso clínico. Cir Ciruj. 2017; 85(2): 164-167. http://dx.doi.org/10.1016/j.circir.2015.10.011.

  2. Yang KH, Lee TB, Lee SH, Kim SH, Cho YH, Kim HY. Congenital adhesion band causing small bowel obstruction: What's the difference in various age groups, pediatric and adult patients?. BMC Surg. 2016;16(1):79.

  3. Kostic A, Krstic M, Slavkovic A, Vacic N. Intestinal obstruction in children could it be congenital abdominal bands? Pediatr Emerg Care. 2013; 29: 500-501. doi: 10.1097/PEC.0b013e31828a388f.

  4. Chang YT, Chen BH, Shih HH, Hsin YM, Chiou CS. Laparoscopy in children with acute intestinal obstruction by aberrant congenital bands. Surg Laparosc Endosc Percutan Tech. 2010; 20(1): e34-e37. doi: 10.1097/SLE.0b013e3181cdb89a.

  5. Dassinger MS, Smith SD. Disorders of intestinal rotation and fixation. In: Coran AG, Grosfeld JL, O’Neill JA Jr, Fonkalsrud EW, eds. Pediatric Surgery, 7th ed. Philadelphia: Mosby, 2012; 1111-1125. doi: 10.1016/B978-0-323-07255-7.00086-6.

  6. Erginel B, Soysal FG, Ozbey H, Keskin H, Celik A, Karadag A, et al. Small bowel obstruction due to anomalous congenital bands in children. Gastroenterol Res Pract. 2016; 2016:7364329. doi: 10.1155/2016/7364329.

  7. Aydin E. A rare cause of intestinal obstruction in a newborn: congenital band compression. North Clin Istanbul. 2016; 3 (1): 75-78. doi: 10.14744/nci.2015.26349.

  8. Ghritlaharey RK, Budhwani KS, Shrivastava DK. Exploratory laparotomy for acute intestinal conditions in children: A review of 10 years of experience with 334 cases. Afr J Paediatr Surg. 2011; 8: 62-69. https://doi.org/10.4103/0189-6725.78671.

  9. Maiese A, Bonaccorso L, Dell'Aquila M, Gitto L, Bolino G. Anomalous congenital band and intestinal obstruction: report of a fatal case in a child. Forensic Sci Med Pathol. 2013;9(4):588-590. doi:10.1007/s12024-013-9461-3.

  10. Akgür FM, Tanyel FC, Büyükpamukçu N, Hiçsönmez A. Anomalous congenital bands causing intestinal obstruction in children. J Pediatr Surg. 1992;27 (4):471-473. doi:10.1016/0022-3468(92)90340-d

  11. Nicolas G, Kfoury T, Shimlati R, Koury E, Tohme M, Gharios E, et al. Diagnosis and treatment of small bowel strangulation due to congenital band: three cases of congenital band in adults lacking a history of trauma or surgery. Am J Case Rep. 2016; 17: 712-719. doi: 10.12659/AJCR.899664.

  12. Etensel B, Özkisacik S, Döger F, Yazici M, Gürsoy H. Anomalous congenital band: a rare cause of intestinal obstruction and failure to thrive. Pediatr Surg Int. 2005; 21: 1018-1020. doi: 10.1007/s00383-005-1563-x.

  13. Fang AC, Carnell J, Stein JC. Constipation in a 7-year-old boy: Congenital band causing a strangulated small bowel and pulseless electrical activity. J Emerg Med. 2012; 42(3): 283-287. doi: 10.1016/j.jemermed.2010.05.092.

  14. Jerraya H, Khalfallah M, Gaja A, Dziri C. Laparoscopic treatment of intestinal obstruction caused by an uncommon congenital band. BMJ Case Rep. 2015; 2015: bcr2015212536. doi: 10.1136/bcr-2015-212536.




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