Intestinal Obstruction of Congenital Origin: A Case Report

Mandeeep Guragai,Suzit Bhusal,Anwesh Bhatta

doi:10.31729/jnma.4708

Abstract

Congenital bands are rare causes of intestinal obstruction and often leads to diagnostic challenges. Diagnostic delays in cases of mechanical obstruction might lead to irreversible bowel ischemia and perforation. Presently described is a case of an 18 month young child with severe vomiting developed for one day. The child was initially thought to have acute viral enteritis and treated accordingly. Due to the severity, an X-Ray and computed tomography scan were sent which pointed towards the possibility of having congenital bands. He was treated operatively. The child was kept under observation for eleven days and was discharged. Although rare, intestinal obstruction due to congenital bands must be considered when treating a child with severe vomiting. Keywords: case reports, congenital abnormalities, intestinal obstruction, vomiting.

Highlights

Congenital bands that lead to intestinal obstruction are very rare,3 a delay in the diagnosis could lead to irreversible bowel ischemia and perforation and presents a surgical emergency
We reported a rare case of intestinal obstruction in a child, which was strongly evoked by history, and radiological findings
Initially thought to be a viral enteritis, radiologic investigations changed the course of treatment and outcome for the patient

Summary

Introduction

Obstruction in the gastrointestinal tract of a child can occur anywhere from the mouth to the anus.1 Congenital bands have not been thoroughly evaluated in the literature and their etiologies are obscure while some suggest them to be a mesenteric anomaly.2 congenital bands that lead to intestinal obstruction are very rare,3 a delay in the diagnosis could lead to irreversible bowel ischemia and perforation and presents a surgical emergency.4 An 18 month young male child from Kathmandu presented to the emergency department of our hospital with complaints of multiple episodes of severe vomiting since one day. After a few hours of sleep, the child started vomiting and was brought to the hospital the following morning when it didn’t stop throughout the night.

Results

Conclusion