Anomalous congenital bands associated with necrotizing enterocolitis in a term neonate: A case report
Bibliographic record
Abstract
We report a rare occurrence in which a term infant with intestinal anomalous congenital bands (ACB), presented with bloody stools and necrotizing enterocolitis (NEC), instead of the typical intestinal obstruction picture. Our case differs from the reported cases of ACB in its presentation as bloody stools and necrotizing enterocolitis, rather than the classic symptoms of intestinal obstruction (IO). A term neonate who was admitted to the Neonatal Intensive Care Unit (NICU) because of hypoglycemia, developed bloody stools and a clinical picture of NEC. She was treated by antibiotics and kept NPO for 7 days during which her symptoms resolved. Upon refeeding and after reaching full feeding volumes, her bloody stools recurred which warranted expanding the differential diagnosis and further investigations including lower gastrointestinal (GI) contrast study. The lower GI contrast study showed multiple filling defects indicating GI obstruction. Laparotomy was performed to explore and release the cause of obstruction. Laparotomy revealed Anomalous Congenital Bands (ACB) in the colon and cecum causing almost complete obstruction of the intestinal lumen. The ACB were excised, and the stricture segments of bowel were resected, and primary anastomosis was completed. Feeding was resumed with no recurrence of symptoms. Anomalous congenital bands may present with bloody stools and clinical picture of NEC rather that the classic presentation of intestinal obstruction.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.004 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.004 | 0.003 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".