Small bowel obstruction in adults, Ladd's band is an exceptional cause: a case report.

Autor: Naddouri J; Department of Digestive and General Surgery, Department of Surgery C, University Hospital Center Ibn Sina, Rabat, Morocco., Khouah R; Department of Digestive and General Surgery, Department of Surgery A, Lucien Hussel Hospital Center, Vienne, France., Sekkat H; Department of Digestive and General Surgery, Department of Surgery C, University Hospital Center Ibn Sina, Rabat, Morocco., Bakali Y; Department of Digestive and General Surgery, Department of Surgery C, University Hospital Center Ibn Sina, Rabat, Morocco., El Alaoui MM; Department of Digestive and General Surgery, Department of Surgery C, University Hospital Center Ibn Sina, Rabat, Morocco., Raiss M; Department of Digestive and General Surgery, Department of Surgery C, University Hospital Center Ibn Sina, Rabat, Morocco., Sabbah F; Department of Digestive and General Surgery, Department of Surgery C, University Hospital Center Ibn Sina, Rabat, Morocco., Hrora A; Department of Digestive and General Surgery, Department of Surgery C, University Hospital Center Ibn Sina, Rabat, Morocco.
Jazyk: angličtina
Zdroj: The Pan African medical journal [Pan Afr Med J] 2024 Jan 26; Vol. 47, pp. 34. Date of Electronic Publication: 2024 Jan 26 (Print Publication: 2024).
DOI: 10.11604/pamj.2024.47.34.36435
Abstrakt: Malrotation of the gut is a congenital anomaly of foetal intestinal rotation and it's principally discovered in early childhood as acute intestinal obstruction. This condition is veritably rare and constantly silent in adults. Intestinal malrotation in adults is frequently asymptomatic and is diagnosed as a casual finding during a radiological examination performed for other reasons. Infrequently, it can be diagnosed in adults, associated with an acute abdomen. Adult patients rarely present with acute midgut volvulus or internal hernias caused by Ladd's bands. We present a case of an admitted 18-year-old female with a small bowel obstruction due to an intestinal volvulus complicating intestinal malrotation in the presence of Ladd's band. Laparotomic Ladd's procedure was performed successfully with division of Ladd's band, adhesiolysis, appendicectomy, and reorientation of the small bowel on the right and the cecum and colon on the left of the abdominal cavity; the postoperative evolution was favorable. Although it is a rare pathology, it should be kept in mind in cases of patients presenting small bowel obstruction.
Competing Interests: The authors declare no competing interests.
(Copyright: Jaouad Naddouri et al.)
Databáze: MEDLINE
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