PDF(Pubmed)
Abstract：
Malrotation of the gut is a congenital anomaly of foetal intestinal rotation and it\'s principally discovered in early childhood as acute intestinal obstruction. This condition is veritably rare and constantly silent in adults. Intestinal malrotation in adults is frequently asymptomatic and is diagnosed as a casual finding during a radiological examination performed for other reasons. Infrequently, it can be diagnosed in adults, associated with an acute abdomen. Adult patients rarely present with acute midgut volvulus or internal hernias caused by Ladd\'s bands. We present a case of an admitted 18-year-old female with a small bowel obstruction due to an intestinal volvulus complicating intestinal malrotation in the presence of Ladd\'s band. Laparotomic Ladd\'s procedure was performed successfully with division of Ladd\'s band, adhesiolysis, appendicectomy, and reorientation of the small bowel on the right and the cecum and colon on the left of the abdominal cavity; the postoperative evolution was favorable. Although it is a rare pathology, it should be kept in mind in cases of patients presenting small bowel obstruction.
摘要：
肠旋转不良是胎儿肠旋转的先天性异常，主要在儿童早期发现为急性肠梗阻。这种情况非常罕见，并且在成年人中一直保持沉默。成人的肠旋转不良通常是无症状的，并且由于其他原因在进行放射学检查时被诊断为偶然发现。很少,它可以在成人中诊断，与急腹症有关。成人患者很少出现由Ladd带引起的急性中肠扭转或内疝。我们介绍了一例入院的18岁女性，在存在Ladd带的情况下，由于肠扭转并发肠旋转不良，导致小肠梗阻。腹腔镜Ladd\'s手术成功完成，并分割了Ladd\'sband，粘连松解术,阑尾切除术,右侧小肠和左侧盲肠和结肠的重新定位；术后进展良好。虽然这是一种罕见的病理，在出现小肠梗阻的患者中，应牢记这一点。
