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Ladd’s band in the adult, an unusual case of occlusion: Case report and review of the literature
INTRODUCTION: Malrotation of gut is a congenital anomaly of foetal intestinal rotation and it is mostly discovered in early childhood as acute intestinal obstruction. This condition is very rare and often silent in adults. PRESENTATION OF CASE: We present a case of 44-year-old woman admitted with ac...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240054/ https://www.ncbi.nlm.nih.gov/pubmed/32438336 http://dx.doi.org/10.1016/j.ijscr.2020.04.046 |
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author | Grassi, Carmine Conti, Luigi Palmieri, Gerardo Banchini, Filippo Dacco’, Maria Diletta Cattaneo, Gaetano Maria Capelli, Patrizio |
author_facet | Grassi, Carmine Conti, Luigi Palmieri, Gerardo Banchini, Filippo Dacco’, Maria Diletta Cattaneo, Gaetano Maria Capelli, Patrizio |
author_sort | Grassi, Carmine |
collection | PubMed |
description | INTRODUCTION: Malrotation of gut is a congenital anomaly of foetal intestinal rotation and it is mostly discovered in early childhood as acute intestinal obstruction. This condition is very rare and often silent in adults. PRESENTATION OF CASE: We present a case of 44-year-old woman admitted with acute abdominal pain. The abdominal CT scan showed ileal conglomerate loops with thickened walls filled of liquid in the right iliac side. Laparotomic Ladd's procedure was performed successfully with division of Ladd's band, adhesiolysis, reconstruction of Treitz's ligament, small bowel resection and Merckel's diverticulum removal. The patient made an unremarkable recovery. DISCUSSION: We discuss the rarity of intestinal malrotation in adulthood and made a literature review comparison of the therapeutic options available. CONCLUSION: Intestinal malrotation is a rare entity and adult presentation is even rarer. Some cases are asymptomatic, but when symptomatic a volvulus should be promptly suspected to avoid complications such as bowel ischemia. |
format | Online Article Text |
id | pubmed-7240054 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-72400542020-05-26 Ladd’s band in the adult, an unusual case of occlusion: Case report and review of the literature Grassi, Carmine Conti, Luigi Palmieri, Gerardo Banchini, Filippo Dacco’, Maria Diletta Cattaneo, Gaetano Maria Capelli, Patrizio Int J Surg Case Rep Article INTRODUCTION: Malrotation of gut is a congenital anomaly of foetal intestinal rotation and it is mostly discovered in early childhood as acute intestinal obstruction. This condition is very rare and often silent in adults. PRESENTATION OF CASE: We present a case of 44-year-old woman admitted with acute abdominal pain. The abdominal CT scan showed ileal conglomerate loops with thickened walls filled of liquid in the right iliac side. Laparotomic Ladd's procedure was performed successfully with division of Ladd's band, adhesiolysis, reconstruction of Treitz's ligament, small bowel resection and Merckel's diverticulum removal. The patient made an unremarkable recovery. DISCUSSION: We discuss the rarity of intestinal malrotation in adulthood and made a literature review comparison of the therapeutic options available. CONCLUSION: Intestinal malrotation is a rare entity and adult presentation is even rarer. Some cases are asymptomatic, but when symptomatic a volvulus should be promptly suspected to avoid complications such as bowel ischemia. Elsevier 2020-05-11 /pmc/articles/PMC7240054/ /pubmed/32438336 http://dx.doi.org/10.1016/j.ijscr.2020.04.046 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Grassi, Carmine Conti, Luigi Palmieri, Gerardo Banchini, Filippo Dacco’, Maria Diletta Cattaneo, Gaetano Maria Capelli, Patrizio Ladd’s band in the adult, an unusual case of occlusion: Case report and review of the literature |
title | Ladd’s band in the adult, an unusual case of occlusion: Case report and review of the literature |
title_full | Ladd’s band in the adult, an unusual case of occlusion: Case report and review of the literature |
title_fullStr | Ladd’s band in the adult, an unusual case of occlusion: Case report and review of the literature |
title_full_unstemmed | Ladd’s band in the adult, an unusual case of occlusion: Case report and review of the literature |
title_short | Ladd’s band in the adult, an unusual case of occlusion: Case report and review of the literature |
title_sort | ladd’s band in the adult, an unusual case of occlusion: case report and review of the literature |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240054/ https://www.ncbi.nlm.nih.gov/pubmed/32438336 http://dx.doi.org/10.1016/j.ijscr.2020.04.046 |
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