title: Caeco-peritoneal band as a potential cause of right iliac fossa pain in children.
abstract: BACKGROUND
  A caeco-peritoneal band (CPB) has been observed during diagnostic laparoscopy for chronic right iliac fossa (RIF) pain. This has a veil-like configuration and arises along a broad base from the caecum and ascending colon and attaches to the anterior abdominal wall.
  
  
  METHODS
  Retrospective analysis of a prospectively collected database of 31 patients, aged 11-16, who underwent diagnostic laparoscopy for ongoing RIF pain over a 10-year period was analysed for intra-operative presence of the CPB. The patients' symptoms, past medical history, diagnostic workup, surgical findings and outcome were evaluated.
  
  
  RESULTS
  CPB was identified in five patients. All presented with chronic RIF pain and had inconclusive preoperative investigations. Two patients underwent previous surgery. In all cases, the CPB was the sole abnormal finding on diagnostic laparoscopy. Symptoms resolved following division of the CPB with no recurrence of pain at a mean follow-up of 575 days.
  
  
  CONCLUSIONS
  CPB is a potential cause of chronic RIF pain in patients with unremarkable examination findings and negative serological and radiological investigations. Laparoscopic identification and division of the CPB has produced symptom resolution in this cohort of patients.
authors.affiliation: Department of Paediatric Surgery, The Royal Alexandra Children's Hospital, Eastern Road, Brighton, BN2 5BE, UK.
authors.forename: R S
authors.initials: RS
authors.lastname: Wong
authors.forename: R
authors.initials: R
authors.lastname: Lahiri
authors.forename: Anies
authors.initials: A
authors.lastname: Mahomed
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000293:Adolescent; D002429:Cecal Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D002648:Child; D002908:Chronic Disease; D003108:Colonic Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D010532:Peritoneal Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D012189:Retrospective Studies