ADULT MIDGUT MALROTATION WITH LADD’S BAND: A RARE CASE REPORT WITH REVIEW OF LITERATURES

  • Prasan Kumar Hota Department of general surgery Mamata medical college and general hospital, Khammam-507002 Telengana, India
  • D. Abhishek Department of general surgery Mamata medical college and general hospital, Khammam-507002 Telengana, India
  • V. Bhaskar Department of general surgery Mamata medical college and general hospital, Khammam-507002 Telengana, India

Abstract

Background: Midgut malrotation is an anomaly of intestinal rotation that occurs during fetal development and usually presents in the neonatal period. It is rare for midgut malrotation to present in adulthood. Method: We present a case of 15 year old girl presenting with acute abdomen of 15 days duration. Clinical evaluation and investigations revealed features of acute small gut obstruction with peritonitis. Patient underwent exploratory laparotomy which revealed Ladd?s band with midgut malrotation with gangrenous and perforated duodeno-jejunal segment. Derotation with release of band with appendicectomy and resection of gangrenous segment with end to end anastomosis and anatomical repositioning of the bowel was performed. Results: Complete resolution of symptoms seen in 4 months follow-up. We report this case for the rarity of the case with an unusual presentation of adult midgut malrotation due to Ladd?s band presenting with gangrene of the affected gut with perforation, which was managed successfully.

Downloads

Download data is not yet available.

Author Biographies

Prasan Kumar Hota, Department of general surgery Mamata medical college and general hospital, Khammam-507002 Telengana, India
Department of general surgery Mamata medical college and general hospital, Khammam-507002 Telengana, India
D. Abhishek, Department of general surgery Mamata medical college and general hospital, Khammam-507002 Telengana, India
Department of general surgery Mamata medical college and general hospital, Khammam-507002 Telengana, India
V. Bhaskar, Department of general surgery Mamata medical college and general hospital, Khammam-507002 Telengana, India
Department of general surgery Mamata medical college and general hospital, Khammam-507002 Telengana, India
Published
2014-10-06
How to Cite
HOTA, Prasan Kumar; ABHISHEK, D.; BHASKAR, V.. ADULT MIDGUT MALROTATION WITH LADD’S BAND: A RARE CASE REPORT WITH REVIEW OF LITERATURES. BALI MEDICAL JOURNAL, [S.l.], v. 3, n. 3, oct. 2014. ISSN 2302-2914. Available at: <https://ojs.unud.ac.id/index.php/bmj/article/view/21629>. Date accessed: 04 dec. 2022.
Section
Articles

Keywords

Mid gut malrotation; Ladd?s band; Ladd?s procedure.