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CC BY-NC-ND 4.0 · AJP Rep 2021; 11(01): e1-e4
DOI: 10.1055/s-0040-1722729
Case Report

Congenital Adhesion Band Presenting as Intestinal Perforation in an Extremely Low Birth Weight Infant

Juan Guillen
1   Department of Pediatrics, Neonatology, Metro Health Medical Center, Cleveland, Ohio
,
Stacey Ramey
1   Department of Pediatrics, Neonatology, Metro Health Medical Center, Cleveland, Ohio
,
Prabhu Satya Parimi
1   Department of Pediatrics, Neonatology, Metro Health Medical Center, Cleveland, Ohio
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Abstract

A 231/7-week-old and 560-g-weighing premature male infant was evaluated on day of life 33 for increased frequency of bradycardias, bilious residual, and an increase in abdominal girth. Physical examination was notable for distended and mild tender abdomen. Investigations revealed pneumoperitoneum with dilated bowel loops and a normal acid–base balance. An urgent exploratory laparotomy demonstrated isolated jejunal perforation with an adhesive band extending from the omentum to the base of the mesentery. A segmental jejunal resection followed by an end-to-end anastomosis was performed. The diagnosis of intestinal perforation was inconsistent with focal spontaneous intestinal perforation and necrotizing enterocolitis. Decision to perform exploratory laparotomy led to diagnosis of congenital adhesion band, a rare clinical condition, and the patient had a favorable outcome. This premature infant made an excellent recovery and the upper gastrointestinal (GI) study demonstrated that the anastomotic site was intact. He is currently tolerating advancing enteral feeds.

Keywords

perforation - congenital band - premature infant - laparotomy


Publication History

Received: 18 September 2020

Accepted: 04 November 2020

Article published online:
13 January 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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