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Intestinal malrotation is described as an abnormal positioning of intestinal loops within the peritoneal cavity, caused by defective rotation around the superior mesenteric artery. This results in a short mesenteric root, which predisposes to midgut volvulus when the intestine twists on its axis. We present a case of a five-day-old female with bilious vomiting, abdominal distension, and radiographic signs of obstruction. Surgical intervention was decided, revealing midgut volvulus associated with intestinal malrotation and questionable intestinal viability. A second-look surgery was scheduled at 48 hours, during which the Ladd procedure was completed without requiring intestinal resection. In conclusion, we emphasize the importance of early surgical intervention and the use of techniques that may prevent irreversible intestinal necrosis and the need for extensive resections.
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http://dx.doi.org/10.7759/cureus.88600 | DOI Listing |
J Pediatr Surg
September 2025
Mercer University School of Medicine, Columbus Campus, Columbus GA 31901. Electronic address:
For one considered "the father of pediatric surgery," William Ladd (1880-1967) has few eponymous procedures and terms that bear his name. The Ladd procedure is a series of procedures to address malrotation of the intestine and midgut volvulus. Also bearing his name are Ladd's bands, obstructing adhesions that cross the duodenum as they bind the nonrotated cecum high in the right upper quadrant to the retroperitoneum.
View Article and Find Full Text PDFInt J Surg Case Rep
August 2025
Department of Internal Medicine, Adera Medical and Surgical Center, Addis Ababa 1000, Ethiopia.
Introduction And Importance: Midgut volvulus is an extremely rare cause of abdominal pain in adults, often due to intestinal malrotation. Its nonspecific and insidious presentation can lead to significant diagnostic delays, increasing the risk of intestinal ischemia, necrosis, or gangrene. Early recognition and prompt surgical intervention are crucial to improving outcomes.
View Article and Find Full Text PDFCureus
July 2025
General Surgery, Hospital General de Occidente, Zapopan, MEX.
Intestinal malrotation is described as an abnormal positioning of intestinal loops within the peritoneal cavity, caused by defective rotation around the superior mesenteric artery. This results in a short mesenteric root, which predisposes to midgut volvulus when the intestine twists on its axis. We present a case of a five-day-old female with bilious vomiting, abdominal distension, and radiographic signs of obstruction.
View Article and Find Full Text PDFRadiol Case Rep
November 2025
Department of Radiology and Medical Imaging, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
Midgut rotation is uncommon to present in adult age group and can be complicated by midgut volvulus. Our patient is 70-year-old male, who presented to the emergency department with abdominal pain and constipation for 4 days. Enhanced abdominal computed tomography scan (CT) was done and showed typical findings of midgut volvulus, which are inversion of the mesenteric vessels and whirlpool sign.
View Article and Find Full Text PDFCureus
July 2025
General Surgery, Sree Balaji Medical College and Hospital, Chennai, IND.
Intestinal malrotation is an inherited condition where the midgut is not properly rotated, and it tends to be noticed in infancy. It becomes evident in later life with unusual abdominal pain and vomiting, which happen due to occasional blockages. Consequently, there is a risk of midgut volvulus and damage to the blood supply of the bowel.
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