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Published:
Feb 17, 2017Keywords:
Malrotation Midgut malrotation Midgut volvulus Ladd’s procedure Left side appendicitis Bowel obstruction
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Intestinal volvulus after conservative management of incidental midgut malrotation discovered at laparoscopic appendectomy in a teenager
Abstract
Midgut malrotation (MMR) is the abnormal rotation of the foetal midgut around the axis of the superior mesenteric artery which in symptomatic neonates requires a Ladd’s procedure. We present a rare case of midgut volvulus occurring in a teenager 3 days after observational management of incidentally discovered MMR during laparoscopic appendectomy. A Ladd’s procedure was performed and the patient is well at one-year follow up. We suggest prophylactic Ladd’s procedure remains the treatment of choice for MMR even when discovered incidentally.
Keywords: Malrotation; Midgut malrotation; Midgut volvulus; Ladd’s procedure; Left side appendicitis; Bowel obstruction
