Abstract
We successfully performed a laparoscopic Ladd's procedure and an appendectomy in a 15-year-old girl with intestinal malrotation and appendicitis. She had tenderness and rebound pain in the umbilicus and left lower abdominal quadrant. Blood analysis revealed a moderate inflammatory response. Enhanced computerized tomography (CT) scanning revealed a whirl-like pattern and a superior mesentric vein (SMV) rotation sign in the mesentry of the small intestine. A swollen appendix was seen just below the umbilicus. An upper gastrointestinal (GI) radiological series confirmed agenesis of Treitz's arch. The patient was diagnosed as having a nonrotation type of malformation accompanied by acute appendicitis. She underwent a laparoscopic Ladd's procedure, an appendectomy, peritoneal lavage, and drainage. The technique for this procedure and its effectiveness are briefly discussed.
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Tsumura, H., Ichikawa, T., Kagawa, T. et al. Successful laparoscopic Ladd's procedure and appendectomy for intestinal malrotation with appendicitis. Surg Endosc 17, 657–658 (2003). https://doi.org/10.1007/s00464-002-4516-7
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DOI: https://doi.org/10.1007/s00464-002-4516-7