Colonic volvulus in an adult after childhood Ladd's procedure for malrotation

Megan Addink, Aziz M. Merchant, Peter Bistolarides

Research output: Contribution to journalArticlepeer-review

Abstract

Malrotation and volvulus are encountered early in infancy and sometimes later in childhood, but rarely in adulthood. This ailment is treated through Ladd's adhesiolysis, detorsion, and possibly bowel resection. Literature is scarce on the long-term outcomes of this procedure, especially into adulthood. We present a case report of an adult female with a history of a laparotomy as a child for a bowel obstruction secondary to malrotation, presenting with an obstruction and colonic volvulus, secondary to an adhesive band, requiring emergent surgery. The patient did well postoperatively without complications. In adult patients presenting with a bowel obstruction and a consistent history in childhood, recurrence of volvulus should be considered as part of the differential diagnosis through a detailed history and assessment.

Original languageEnglish (US)
Pages (from-to)101-104
Number of pages4
JournalJournal of Surgical Education
Volume69
Issue number1
DOIs
StatePublished - Jan 2012

ASJC Scopus subject areas

  • Surgery
  • Education

Keywords

  • Medical Knowledge
  • Patient Care
  • Practice Based Learning and Improvement

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