Acute cecal volvulus and large bowel obstruction in a patient with persistent Ladd bands and chronic malrotation: case report and review of literature

TL;DR

A 50-year-old man with chronic malrotation and Ladd bands developed cecal volvulus, leading to bowel obstruction and requiring surgery.

Contribution

This case highlights the rare association of chronic malrotation and Ladd bands with cecal volvulus in adults.

Findings

Cecal volvulus occurred in a patient with persistent Ladd bands and chronic malrotation.

The patient presented with large bowel obstruction and was successfully treated surgically.

Such cases pose diagnostic challenges due to atypical anatomy and presentation.

Abstract

Cecal volvulus occurs when the ascending colon and terminal ileum twist around the mesenteric pedicle, compromising bowel perfusion and leading to obstruction. This condition may result from congenital or acquired abnormalities affecting cecal fixation. Intestinal malrotation is rare in adults and is usually asymptomatic. We report the case of a 50-year-old male who presented with a large bowel obstruction due to cecal volvulus associated with chronic malrotation and Ladd bands. He underwent successful surgical treatment and was discharged home. This report discusses the atypical anatomy, clinical presentation, and diagnostic challenges of such cases.

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