Abstract
There have been reported congenital remnants which caused bowel obstruction in infants. Because of the variability and nonspecificity of symptoms, the diagnosis is often not made until intraperitoneal detection. A 76-day-old premature baby, who had undergone Ramstedt's operation at 17 days old, was tranferred to the Department of Pediatric Surgery because of vomiting with bile free vomitus. On admission, physical examination noted the patient was afebrile and in no distress. At operation, fibrous band aproximately 5 mm in diameter and 4 cm in length was found. It was extended from the antimensenteric site of the ileum approximately 50 cm from the ileocecal valve to the fundus of an normal appearing gallblader. The band was ligated at its margins and resected. The ileum was constricted at the site of attachment to the band. The strictured portion of the ileum was resected and an end-to-end anastomosis was performed. His postoperative course was uneventful. A review of the literature suggests that this band is mostly consist with persistence of a remnant of the distal vitelline veins.
