Research Article Small Bowel Obstruction due to Anomalous Congenital Bands in Children Basak Erginel, Feryal Gun Soysal, Huseyin Ozbey, Erbug Keskin, Alaattin Celik, AslJ Karadag, and Tansu Salman Department of Pediatric Surgery, Istanbul Medical Faculty, Istanbul University, 34093 Istanbul, Turkey Correspondence should be addressed to Basak Erginel; basakerginel@hotmail.com Received 11 April 2016; Revised 17 May 2016; Accepted 20 June 2016 Academic Editor: Per Hellstr¨ om Copyright © 2016 Basak Erginel et al. Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction. Te aim of the study was to evaluate our children who are operated on for anomalous congenital band while increasing the awareness of this rare reason of intestinal obstruction in children which causes a diagnostic challenge. Patients and Methods. We retrospectively reviewed the records of fourteen children treated surgically for intestinal obstructions caused by anomalous congenital bands. Results. Te bands were located between the following regions: the ascending colon and the mesentery of the terminal ileum in 4 patients, the jejunum and mesentery of the terminal ileum in 3 patients, the ileum and mesentery of the terminal ileum in 2 patients, the ligament of Treitz and mesentery of the jejunum in one patient, the ligament of Treitz and mesentery of the terminal ileum in one patient, duodenum and duodenum in one patient, the ileum and mesentery of the ileum in one patient, the jejunum and mesentery of the jejunum in one patient, and Meckel’s diverticulum and its ileal mesentery in one patient. Band excision was adequate in all of the patients except the two who received resection anastomosis for intestinal necrosis. Conclusion. Although congenital anomalous bands are rare, they should be considered in the diferential diagnosis of patients with an intestinal obstruction. 1. Introduction Intestinal bands caused by infammation and surgery in pediatric patients are common and can lead to intestinal obstruction. However, anomalous congenital bands that are not related to abdominal conditions such as laparotomy, trauma, or peritonitis are extremely rare causes of intestinal obstruction in children [1]. Teir exact incidence is unknown [2]. Te etiology of anomalous congenital bands is still unknown, but they are not secondary to known embryologic remnants such as omphalomesenteric duct or vitelline vessel remnants [3]. Te importance of anomalous congenital bands is related to the difculty of diagnosis, and fatal cases have been reported with late diagnosis [4]. Here, we report fourteen children with congenital anomalous bands, which represent the largest series reported in the literature as far as we investigated. Te aim of our study was to increase the awareness of this rare condition in children admitted with intestinal obstruction. 2. Methods During the twenty-fve-year period from 1990 to 2015, there were 14 children treated surgically for congenital anomalous bands in Department of Pediatric Surgery, Istanbul Medical Faculty, Istanbul University. All of the patients were admitted with clinical diagnosis of acute intestinal obstruction. Annual distribution of patients was even. Almost every year we had one patient. Te cases are retrospectively evaluated for demographic fndings, clinical signs, diagnostic methods, preoperative fndings, band location, and postoperative com- plications. 3. Results Tere were 4 girls and 10 boys ranging in age between 4 days and 12 years (mean age: 6.6 ± 3.2 years). Te two new- born patients were presented with abdominal distention and vomiting. Te remaining 12 patients had abdominal pain and Hindawi Publishing Corporation Gastroenterology Research and Practice Volume 2016, Article ID 7364329, 3 pages http://dx.doi.org/10.1155/2016/7364329