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Laparoscopic repair of intestinal malrotation complicated by midgut volvulus

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Intestinal malrotation is rare in older children and adults. We performed laparoscopic repair and treatment for a 13-year-old girl diagnosed as having intestinal malrotation complicated by midgut volvulus. Under laparoscopic vision, the midgut volvulus was untwisted by grasping and pulling the intestine; Ladd's band was divided and broadened; hepatic and splenic flexure of the colon was fixed; and finally an appendectomy was performed. The patient was walking and able to resume oral intake on the first postoperative day. There was no complaint in 6 months of follow-up, and the small incisional scar satisfied the patient and her parents.

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Received: 22 July 1998/Accepted: 15 January 1999

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Yamashita, H., Kato, H., Uyama, S. et al. Laparoscopic repair of intestinal malrotation complicated by midgut volvulus. Surg Endosc 13, 1160–1162 (1999).

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