Laparoscopic 'steering wheel' derotation technique for midgut volvulus in children with intestinal malrotation
نویسندگان
چکیده
منابع مشابه
Intestinal malrotation and midgut volvulus
A four-day-old boy presented with persistent bilious vomiting, bloody stained stool, and mild abdominal distension. Transabdominal ultrasound demonstrated a round soft-tissue mass-like structure in the right upper quadrant. With color Doppler ultrasound, the whirlpool sign was observed. Abdominal radiograph showed nonspecific findings. Upper gastrointestinal series revealed upper gastrointestin...
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A 38-year-old woman in the 27th week of gestation was admitted for sudden onset of epigastric pain, vomiting, and nausea, which worsened after food ingestion. The patient described 1 year of self-limited episodes of abdominal pain that improved with defecation and were associated with a change in frequency and consistency of stools that were interpreted as irritable bowel syndrome. On physical ...
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The intestinal derotation technique, introduced by Cattel and Valdoni 40 years ago, is carried out using a laparoscopic procedure, which is described here for the first time. The method is effective in the treatment of malign lesions of the III and IV duodenum and during laparoscopic subtotal colectomy with anastomosis between the ascending colon and the rectum. Ultimately, the procedure allows...
متن کاملIntestinal volvulus after conservative management of incidental midgut malrotation discovered at laparoscopic appendectomy in a teenager.
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...
متن کاملLaparoscopic Ladd’s procedure for intestinal malrotation in the adult patient without volvulus: Surgical technique
Intestinal malrotation occurs when there is arrest or disruption of the normal rotation of the embryonic gut during the fourth to twelfth week of embryonic development. Normally, the midgut undergoes a 270° counterclockwise rotation around the superior mesenteric artery, leading to retroperitoneal fixation of the duodenum at the ligament of Treitz and fixation of the cecum by peritoneal bands t...
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ژورنال
عنوان ژورنال: Journal of Minimal Access Surgery
سال: 2019
ISSN: 0972-9941
DOI: 10.4103/jmas.jmas_24_18