Title |
Successful treatment of a 14-year-old patient with intestinal malrotation with laparoscopic Ladd procedure: case report and literature review
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Published in |
World Journal of Emergency Surgery, May 2013
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DOI | 10.1186/1749-7922-8-19 |
Pubmed ID | |
Authors |
Yuka Nakajima, Hiroyuki Sakata, Tomohiro Yamaguchi, Norichika Yoshie, Taihei Yamada, Takaaki Osako, Mariko Terashima, Naomi Mambo, Ryuta Saka, Satoko Nose, Takashi Sasaki, Hiroomi Okuyama, Atsunori Nakao, Joji Kotani |
Abstract |
Midgut malrotation is an anomaly of intestinal rotation that occurs during fetal development and usually presents in the neonatal period. We present a rare case of malrotation in a 14-year-old patient who presented with cramping, generalized right abdominal pain, and vomiting for a duration of one day. A computed tomography abdominal scan and upper gastrointestinal contrast studies showed malrotation of the small bowel without volvulus. Laparoscopy revealed typical Ladd's bands and a distended flabby third and fourth duodenal portion extrinsically obstructing the misplaced duodeno-jejunal junction. The Ladd procedure, including widening of the mesenteric base and appendectomy, was performed. Symptoms completely resolved in a half-year follow up period. Patients with midgut malrotation may present with vague abdominal pain, intestinal obstruction, or intestinal ischemia. The laparoscopic Ladd procedure is feasible and safe, and it appears to be as effective as the standard open Ladd procedure in the diagnosis and treatment of teenage or adult patients with intestinal malrotation. |
X Demographics
Geographical breakdown
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Mexico | 1 | 20% |
Unknown | 4 | 80% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 5 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 27 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Postgraduate | 4 | 15% |
Other | 4 | 15% |
Student > Doctoral Student | 2 | 7% |
Student > Master | 2 | 7% |
Librarian | 1 | 4% |
Other | 4 | 15% |
Unknown | 10 | 37% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 10 | 37% |
Nursing and Health Professions | 2 | 7% |
Agricultural and Biological Sciences | 1 | 4% |
Unspecified | 1 | 4% |
Chemistry | 1 | 4% |
Other | 1 | 4% |
Unknown | 11 | 41% |