Anomalous congenital adhesion band: a rare cause of neonatal small bowel obstruction: A case report
DOI:
https://doi.org/10.52783/jns.v14.1739Keywords:
Congenital adhesion band, intestinal obstruction, neonate, laparotomyAbstract
Background: Congenital adhesion band is a rare cause of neonatal intestinal obstruction. It may manifest from neonatal to adult age group with acute or sub-acute presentation. Diagnosis is often delayed due to absence of classical imaging findings. Exploratory laparotomy or laparoscopy is the definitive method of confirmation. Excision of the band and resection of affected bowel segment with end-to-end anastomosis is curative.
Case Presentation: We report a three days old term female neonate presenting with abdominal distension and bilious vomiting. She had leucocytosis, elevated inflammatory markers, dilated bowel loops without pneumoperitoneum or fluid levels or malrotation on imaging. A high index of suspicion and inconclusive imaging study findings led to prompt decision of exploratory laparotomy. Intra-operative findings showed intestinal adhesion at ileum with the presence of a fibrotic band. Ileal resection and anastomosis were performed. Postoperative recovery was uneventful.
Conclusion: A high index of suspicion of congenital adhesion band in the neonates with intestinal obstruction, especially with inconclusive imaging findings can reduce morbidity and mortality.
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