Ladd's band in the adult, an unusual case of occlusion: Case report and review of the literature.
Bowel obstruction
Gut malrotation
Ladd’s band
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2020
2020
Historique:
received:
04
02
2020
revised:
19
04
2020
accepted:
22
04
2020
pubmed:
22
5
2020
medline:
22
5
2020
entrez:
22
5
2020
Statut:
ppublish
Résumé
Malrotation of gut is a congenital anomaly of foetal intestinal rotation and it is mostly discovered in early childhood as acute intestinal obstruction. This condition is very rare and often silent in adults. We present a case of 44-year-old woman admitted with acute abdominal pain. The abdominal CT scan showed ileal conglomerate loops with thickened walls filled of liquid in the right iliac side. Laparotomic Ladd's procedure was performed successfully with division of Ladd's band, adhesiolysis, reconstruction of Treitz's ligament, small bowel resection and Merckel's diverticulum removal. The patient made an unremarkable recovery. We discuss the rarity of intestinal malrotation in adulthood and made a literature review comparison of the therapeutic options available. Intestinal malrotation is a rare entity and adult presentation is even rarer. Some cases are asymptomatic, but when symptomatic a volvulus should be promptly suspected to avoid complications such as bowel ischemia.
Identifiants
pubmed: 32438336
pii: S2210-2612(20)30238-8
doi: 10.1016/j.ijscr.2020.04.046
pmc: PMC7240054
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
45-49Informations de copyright
Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.
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