Multiple recurrences of mesenteric narrowing following Ladd procedure

Abstract

We describe a case of a six-month old male presenting with recurrent midgut volvulus following two previous Ladd procedures. Despite widening of the mesenteric base during each of the previous operations, the base again appeared narrowed, facilitating the development of a recurrent midgut volvulus. The patient underwent a third Ladd procedure with emphasis placed on widening of the mesenteric base, including division of the gastro-colic ligament to further separate the colon from the duodenum with the intent of preventing any future narrowing and subsequent intestinal volvulus.

Keywords

• Intestinal rotational abnormality
• Malrotation
• Midgut volvulus
• Ladd procedure