Abstract
The incidence of obstruction of large bowel is 3-4 times less frequent than the small bowel. The main causes of large bowel obstruction are malignancy, volvulus, diverticulae, inflammatory bowel disease and pseudo-obstruction [1]. Anomalous congenital bands (ACB) causing large bowel obstruction is a rare occurrence and to best of our knowledge, only three such cases has been reported in literature [2, 3, 4]. There is no report of congenital band causing both large bowel obstruction and jejunal ischemia. We report an unusual case of intestinal obstruction in a 76 year old lady who had an ACB obstructing the transverse colon causing a closed loop obstruction, caecal perforation and ischemia of proximal jejunum along with formation of pneumatosis cystoides intestinalis (PCI).
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