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South African Journal of Surgery

On-line version ISSN 2078-5151
Print version ISSN 0038-2361

Abstract

NAIDOO, S; KIMMIE, F  and  BHYAT, A. Intestinal volvulus after conservative management of incidental midgut malrotation discovered at laparoscopic appendectomy in a teenager. S. Afr. j. surg. [online]. 2016, vol.54, n.3, pp.47-50. ISSN 2078-5151.

Midgut malrotation (MMR) is the abnormal rotation of the foetal midgut around the axis of the superior mesenteric artery which in symptomatic neonates requires a Ladd's procedure. We present a rare case of midgut volvulus occurring in a teenager 3 days after observational management of incidentally discovered MMR during laparoscopic appendectomy. A Ladd's procedure was performed and the patient is well at one-year follow up. We suggest prophylactic Ladd's procedure remains the treatment of choice for MMR even when discovered incidentally.

Keywords : Malrotation; Midgut malrotation; Midgut volvulus; Ladd's procedure; Left side appendicitis; Bowel obstruction.

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