Cargando…

Diagnosis and Treatment of Small Bowel Strangulation Due To Congenital Band: Three Cases of Congenital Band in Adults Lacking a History of Trauma or Surgery

Case series Patients: Male, 33 • Male, 18 • Male, 19 Final Diagnosis: Congenital band causing a small bowel obstruction Symptoms: Progressive abdominal pain that eventually becomes excessive Medication: — Clinical Procedure: Laparoscopic band removal Specialty: Surgery OBJECTIVE: Rare disease BACKGR...

Descripción completa

Detalles Bibliográficos
Autores principales: Nicolas, Gregory, Kfoury, Tony, Shimlati, Rasha, Koury, Elliott, Tohme, Maroon, Gharios, Elie, Wakim, Raja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5058432/
https://www.ncbi.nlm.nih.gov/pubmed/27713389
http://dx.doi.org/10.12659/AJCR.899664
_version_ 1782459242155868160
author Nicolas, Gregory
Kfoury, Tony
Shimlati, Rasha
Koury, Elliott
Tohme, Maroon
Gharios, Elie
Wakim, Raja
author_facet Nicolas, Gregory
Kfoury, Tony
Shimlati, Rasha
Koury, Elliott
Tohme, Maroon
Gharios, Elie
Wakim, Raja
author_sort Nicolas, Gregory
collection PubMed
description Case series Patients: Male, 33 • Male, 18 • Male, 19 Final Diagnosis: Congenital band causing a small bowel obstruction Symptoms: Progressive abdominal pain that eventually becomes excessive Medication: — Clinical Procedure: Laparoscopic band removal Specialty: Surgery OBJECTIVE: Rare disease BACKGROUND: Among the causes of constipation are bands and adhesions that lead to obstructions at different points in the intestinal tract. These can occur as a consequence of healing following surgery or trauma. However, an entity known as congenital band exists where a band is present from birth. Here we report three such cases of adults with symptoms of intestinal obstruction, in whom a congenital band was discovered through exploratory laparoscopy. CASE REPORTS: All three of these patients presented lacking a history of any abdominal trauma or previous abdominal surgeries, a fact that is often used to exclude an adhesion as a differential. All three recovered quickly and had relief of their symptoms following surgical intervention. CONCLUSIONS: Bands and adhesions are common surgical causes of small bowel obstruction, leading to symptoms such as nausea, vomiting, constipation, and obstipation. These bands almost always result from a prior abdominal surgery or from a recent abdominal trauma. The three cases presented here show a far more unusual picture of a band, one that is congenitally present, as there was an absence of such a history. This is significant because clinical suspicion of a band is often very low due to a lack of distinguishing clinical and diagnostic features, and when the past history is negative.
format Online
Article
Text
id pubmed-5058432
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher International Scientific Literature, Inc.
record_format MEDLINE/PubMed
spelling pubmed-50584322016-10-20 Diagnosis and Treatment of Small Bowel Strangulation Due To Congenital Band: Three Cases of Congenital Band in Adults Lacking a History of Trauma or Surgery Nicolas, Gregory Kfoury, Tony Shimlati, Rasha Koury, Elliott Tohme, Maroon Gharios, Elie Wakim, Raja Am J Case Rep Articles Case series Patients: Male, 33 • Male, 18 • Male, 19 Final Diagnosis: Congenital band causing a small bowel obstruction Symptoms: Progressive abdominal pain that eventually becomes excessive Medication: — Clinical Procedure: Laparoscopic band removal Specialty: Surgery OBJECTIVE: Rare disease BACKGROUND: Among the causes of constipation are bands and adhesions that lead to obstructions at different points in the intestinal tract. These can occur as a consequence of healing following surgery or trauma. However, an entity known as congenital band exists where a band is present from birth. Here we report three such cases of adults with symptoms of intestinal obstruction, in whom a congenital band was discovered through exploratory laparoscopy. CASE REPORTS: All three of these patients presented lacking a history of any abdominal trauma or previous abdominal surgeries, a fact that is often used to exclude an adhesion as a differential. All three recovered quickly and had relief of their symptoms following surgical intervention. CONCLUSIONS: Bands and adhesions are common surgical causes of small bowel obstruction, leading to symptoms such as nausea, vomiting, constipation, and obstipation. These bands almost always result from a prior abdominal surgery or from a recent abdominal trauma. The three cases presented here show a far more unusual picture of a band, one that is congenitally present, as there was an absence of such a history. This is significant because clinical suspicion of a band is often very low due to a lack of distinguishing clinical and diagnostic features, and when the past history is negative. International Scientific Literature, Inc. 2016-10-07 /pmc/articles/PMC5058432/ /pubmed/27713389 http://dx.doi.org/10.12659/AJCR.899664 Text en © Am J Case Rep, 2016 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
spellingShingle Articles
Nicolas, Gregory
Kfoury, Tony
Shimlati, Rasha
Koury, Elliott
Tohme, Maroon
Gharios, Elie
Wakim, Raja
Diagnosis and Treatment of Small Bowel Strangulation Due To Congenital Band: Three Cases of Congenital Band in Adults Lacking a History of Trauma or Surgery
title Diagnosis and Treatment of Small Bowel Strangulation Due To Congenital Band: Three Cases of Congenital Band in Adults Lacking a History of Trauma or Surgery
title_full Diagnosis and Treatment of Small Bowel Strangulation Due To Congenital Band: Three Cases of Congenital Band in Adults Lacking a History of Trauma or Surgery
title_fullStr Diagnosis and Treatment of Small Bowel Strangulation Due To Congenital Band: Three Cases of Congenital Band in Adults Lacking a History of Trauma or Surgery
title_full_unstemmed Diagnosis and Treatment of Small Bowel Strangulation Due To Congenital Band: Three Cases of Congenital Band in Adults Lacking a History of Trauma or Surgery
title_short Diagnosis and Treatment of Small Bowel Strangulation Due To Congenital Band: Three Cases of Congenital Band in Adults Lacking a History of Trauma or Surgery
title_sort diagnosis and treatment of small bowel strangulation due to congenital band: three cases of congenital band in adults lacking a history of trauma or surgery
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5058432/
https://www.ncbi.nlm.nih.gov/pubmed/27713389
http://dx.doi.org/10.12659/AJCR.899664
work_keys_str_mv AT nicolasgregory diagnosisandtreatmentofsmallbowelstrangulationduetocongenitalbandthreecasesofcongenitalbandinadultslackingahistoryoftraumaorsurgery
AT kfourytony diagnosisandtreatmentofsmallbowelstrangulationduetocongenitalbandthreecasesofcongenitalbandinadultslackingahistoryoftraumaorsurgery
AT shimlatirasha diagnosisandtreatmentofsmallbowelstrangulationduetocongenitalbandthreecasesofcongenitalbandinadultslackingahistoryoftraumaorsurgery
AT kouryelliott diagnosisandtreatmentofsmallbowelstrangulationduetocongenitalbandthreecasesofcongenitalbandinadultslackingahistoryoftraumaorsurgery
AT tohmemaroon diagnosisandtreatmentofsmallbowelstrangulationduetocongenitalbandthreecasesofcongenitalbandinadultslackingahistoryoftraumaorsurgery
AT gharioselie diagnosisandtreatmentofsmallbowelstrangulationduetocongenitalbandthreecasesofcongenitalbandinadultslackingahistoryoftraumaorsurgery
AT wakimraja diagnosisandtreatmentofsmallbowelstrangulationduetocongenitalbandthreecasesofcongenitalbandinadultslackingahistoryoftraumaorsurgery