Small Bowel Obstruction by an Anomalous Congenital Band

Abstract

We report a case of a 3-year-old boy who presented with symptoms and signs of intestinal obstruction. The patient reported no previous history of abdominal surgery or trauma while clinical and radiographic examinations were not diagnostic. An open laparotomy was subsequently performed and the intraoperative findings were consistent with a congenital band extending from the antimesenteric wall of the jejunum to the root of mesentery. The band was ligated and divided with an uneventful postoperative course. Congenital bands are extremely rare. Their exact incidence is still unknown. This case, therefore, represents an unusual surgical problem in a child in which the diagnosis was clinically unexpected.

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Notes on contributors

F. Nouira

N. Faouzi Assistant hospitalo-universitaire Service chirurgie pédiatrique-B Hôpital d’enfants de Tunis Bab Saadoun Jebbari 1007 Tunis, Tunisie Tel.: [phone] Fax: [phone] E-mail: [email protected]