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...
Autores principales: | , , , , , , |
---|---|
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 |