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Congenital circumferential constriction band of the abdomen: a case report.

Gargh K, Sullivan C, Laing H, Banerjee S - Case Rep Med (2010)

Bottom Line: We report a case of congenital constriction band of abdomen associated with limb pseudarthrosis.The constriction band around the abdomen, though may cause initial difficulty with ventilation and parental distress, does not interfere with feeding, bowel movements, and growth.It heals spontaneously with supportive treatment though surgery may be needed in some cases.

View Article: PubMed Central - PubMed

Affiliation: Department of Neonatal Medicine, Singleton Hospital, ABM University Health Board, Swansea, SA2 8QA, UK.

ABSTRACT
We report a case of congenital constriction band of abdomen associated with limb pseudarthrosis. The constriction band around the abdomen, though may cause initial difficulty with ventilation and parental distress, does not interfere with feeding, bowel movements, and growth. It heals spontaneously with supportive treatment though surgery may be needed in some cases.

No MeSH data available.


Related in: MedlinePlus

Appearance of the abdomen at birth (a) and at 2 years of age after surgical correction (b).
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fig1: Appearance of the abdomen at birth (a) and at 2 years of age after surgical correction (b).

Mentions: A 31-week preterm baby was noted at birth to have a deep circumferential constriction band of the abdomen (Figure 1). There was also a deep constriction ring involving the right leg that resulted in a pseudoarthrosis below knee (Figure 3). The clinical appearance of the abdomen was striking and initially appeared to interfere with breathing requiring ventilation on high pressures, but there were no mechanical problems affecting feeding or neurological pressure symptoms. In the absence of symptoms after the first few weeks, surgical correction using multiple Z-plasties was planned before school age. However, since he presented before that with abdominal pain, surgery was undertaken at 2 years of age (Figures 1 and 2). A transtibial (below knee) amputation was required for functional management of the right leg deformity (Figure 4).


Congenital circumferential constriction band of the abdomen: a case report.

Gargh K, Sullivan C, Laing H, Banerjee S - Case Rep Med (2010)

Appearance of the abdomen at birth (a) and at 2 years of age after surgical correction (b).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2821764&req=5

fig1: Appearance of the abdomen at birth (a) and at 2 years of age after surgical correction (b).
Mentions: A 31-week preterm baby was noted at birth to have a deep circumferential constriction band of the abdomen (Figure 1). There was also a deep constriction ring involving the right leg that resulted in a pseudoarthrosis below knee (Figure 3). The clinical appearance of the abdomen was striking and initially appeared to interfere with breathing requiring ventilation on high pressures, but there were no mechanical problems affecting feeding or neurological pressure symptoms. In the absence of symptoms after the first few weeks, surgical correction using multiple Z-plasties was planned before school age. However, since he presented before that with abdominal pain, surgery was undertaken at 2 years of age (Figures 1 and 2). A transtibial (below knee) amputation was required for functional management of the right leg deformity (Figure 4).

Bottom Line: We report a case of congenital constriction band of abdomen associated with limb pseudarthrosis.The constriction band around the abdomen, though may cause initial difficulty with ventilation and parental distress, does not interfere with feeding, bowel movements, and growth.It heals spontaneously with supportive treatment though surgery may be needed in some cases.

View Article: PubMed Central - PubMed

Affiliation: Department of Neonatal Medicine, Singleton Hospital, ABM University Health Board, Swansea, SA2 8QA, UK.

ABSTRACT
We report a case of congenital constriction band of abdomen associated with limb pseudarthrosis. The constriction band around the abdomen, though may cause initial difficulty with ventilation and parental distress, does not interfere with feeding, bowel movements, and growth. It heals spontaneously with supportive treatment though surgery may be needed in some cases.

No MeSH data available.


Related in: MedlinePlus