Abstract
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
Highlights
We present a case study of a 39-year-old male with a 10day history of obstipation resulting from a vascular anomalous peritoneal band
Congenital peritoneal bands, either vascular or avascular, cause 3% of all intestinal obstructions and often result in small bowel obstruction [1]. These bands may be associated with other congenital anomalies that develop during rotation of gut such as malrotation, duodenal atresia, enteric duplication, and sometimes superior mesenteric artery syndrome [3,4]
Congenital bands can extend from the ligament of Treitz to the terminal ileum, from the ascending colon to the terminal ileum, and from the right liver lobe to the ascending colon or terminal ileum and in some cases to the bladder [5,6,7]
Summary
Summary 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. 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
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