Laparoscopic Ladd’s procedure for treatment of adult presentation of congenital intestinal malrotation

Laparoscopic Ladd’s procedure for treatment of adult presentation of congenital intestinal malrotation.

Authors: G. Arena, G. Sroka, H. Flageol, G. Fried

Intestinal malrotation is a rare cause of abdominal pain among adults with an incidence estimated around 0.2%
This condition presents with a combination of symptoms such as acute or chronic abdominal pain, nausea and postprandial vomiting and can lead to disastrous complication such as intestinal volvulus.
The range of rotational abnormalities comprises 3 anatomical presentations that are defined as non rotation caused by failure of the small bowel to rotate to the left side of the abdomen and failure of the ascending colon to rotate to the right side of the abdomen,
duodenal malrotation characterized by failure of the duodenojejunal junction to migrate to the left side of the spine with the caecum and ileocecal junction normally located in the right iliac fossa and combined duodenal and cecal malrotation characterized by non rotation of the small bowel, partial rotation of the ascending colon and presence of peritoneal attachments between the caecum and the right side of the abdominal wall.
We report a video case of a 24 year old patient with duodenal malrotation and illustrate the steps for diagnosis and surgical treatment.


Session: Podium Video Presentation

Program Number: V039

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