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Case Reports
. 2025 Jan 17:13:1491520.
doi: 10.3389/fped.2025.1491520. eCollection 2025.

Duodenal obstruction due to two congenital bands: a case report and literature review

Shiqiu Xiong #  1 , Kuku Ge #  1 , Chongzhi Hou #  2 , Hongbin Yang  1 , Hanhua Zhang  1 , Sheng Zhang  2 , Bailing Liu  3 , Yuewen Hao  4 , Ying Fang  1 , Xiaoxia Ren  1
Affiliations
Case Reports

Duodenal obstruction due to two congenital bands: a case report and literature review

Shiqiu Xiong et al. Front Pediatr. .

Abstract

Introduction: Anomalous congenital bands are a rare cause of intestinal obstruction, with only five previously reported cases involving duodenal obstruction. We present a fifth case of duodenal obstruction due to two congenital bands and provide a comprehensive literature review summarizing the clinical features of this condition.

Case report: An eight-year-old girl was admitted to our department with recurrent bilious vomiting and abdominal pain lasting six days. She had no significant past medical history, with no previous abdominal surgeries or trauma. Physical examination revealed abdominal tenderness and decreased bowel sounds. Contrast x-ray showed an obstructed passage of contrast through the third part of the duodenum. Abdominal ultrasound identified a strip-like hypoechoic structure compressing the third part of the duodenum. A diagnosis of duodenal obstruction was confirmed, and laparoscopic surgery combined with gastroduodenoscopy was performed. The procedure revealed two congenital bands adjacent to the duodenum: one extending from the duodenum to the transverse colon, and the other from the duodenum to the root of the mesentery. The bands were resected, and gastroduodenoscopy confirmed the resolution of the obstruction.

Discussion: We reviewed 93 cases of anomalous congenital bands, including the present one, comprising 33 adults and 60 children, with 71.0% of the cases involving males. Common symptoms included vomiting and abdominal pain, with physical examinations often showing tenderness and distension. Imaging techniques like plain x-ray, contrast x-ray, ultrasound, and computed tomography often indicated intestinal obstruction but were less effective in directly identifying congenital bands. All cases required abdominal surgery for diagnosis and treatment. Congenital bands were primarily found attached to the ileum or its mesentery and were resected in all cases, with a favorable postoperative prognosis. This case and the literature review provide valuable insights for clinical diagnosis and treatment.

Keywords: anomalous congenital band; case report; clinical features; intestinal obstruction; literature review.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
(A) The plain x-ray revealed a small air-fluid level in the upper right quadrant, accompanied by the absence of gas in the distal area. (B) The barium meal study demonstrated an obstructed passage of barium in the third segment of the duodenum. (C) The abdominal ultrasound showed a strip-like hypoechoic external compression affecting the third part of the duodenum, preventing the passage of contents. (D) The abdominal CT scan showed the distension of proximal duodenum with fluid accumulation.
Figure 2
Figure 2
The gastroduodenoscopy revealed a distorted intestinal lumen, preventing the passage of the guidewire (A) after resecting the congenital bands, the distortion of the intestinal lumen was resolved (B).
Figure 3
Figure 3
Two congenital bands were identified during the laparoscopy. One extending from the duodenum to the transverse colon, crossing over the third part of the duodenum (A), and the other attached between the duodenum and the root of the mesentery (B).
See this image and copyright information in PMC

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