Laparoscopic Ladd’s Procedure for Adult Intestinal Malrotation With Volvulus: A Case Report and Literature Review

TL;DR

A 29-year-old woman with intestinal malrotation and volvulus was successfully treated with a laparoscopic Ladd’s procedure, highlighting the rarity and challenges of diagnosing this condition in adults.

Contribution

This case report adds to the limited literature on adult intestinal malrotation with volvulus and demonstrates the effectiveness of laparoscopic treatment.

Findings

A 29-year-old woman presented with abdominal pain and vomiting due to intestinal malrotation complicated by volvulus.

The patient successfully underwent a laparoscopic Ladd’s procedure, resolving the condition.

The case emphasizes the importance of considering intestinal malrotation in adults with nonspecific abdominal symptoms.

Abstract

Intestinal malrotation is a congenital anomaly of the gastrointestinal tract, most often diagnosed in childhood. It results from abnormal rotation during embryonic development. It may present with acute abdomen, volvulus, or intestinal obstruction. In adults, the condition is rare and typically presents with nonspecific symptoms, making diagnosis challenging and often delayed. We report the case of a 29-year-old woman who presented to the emergency department with abdominal pain and vomiting. Abdominal CT scan revealed intestinal malrotation complicated by volvulus. The patient underwent a successful laparoscopic Ladd’s procedure. A brief review of the literature is provided to highlight this uncommon adult presentation.

Figures