Small bowel obstruction by a congenital band

Diagnosis certain

Presentation

Four-day-old neonate presented with vomiting and not passing stool. On examination, the anus was present.

Patient Data

Age: Four day
Gender: Unknown

Abdominal x ray (supine)

x-ray

Abdominal x-ray shows dilated small bowel loops and the absence of rectal gas.

No evidence of pneumoperitoneum.

AP images fluoroscopy

Fluoroscopy

Water-soluble contrast was given via the NG tube, and spot images were taken.

The contrast was not passed past the mid-small bowel. The large bowels are not opacified.

Abdominal X ray

x-ray

A delayed x-ray was taken six hours later. Even in the delayed abdominal x-ray, no opacification of the large bowels was noted.

Intra operative photo

Photo

Intraoperative images show a congenital band obstructing the distal small bowel.

Case Discussion

Congenital bands are a rare cause of neonatal small bowel obstruction. This patient had a congenital band obstructing the mid-ileum.

The surgeon managed to correct the obstruction by dissecting the band.

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