Laparoscopic repair of intestinal malrotation complicated by midgut volvulus.
Intestinal malrotation is rare in older children and adults. We performed laparoscopic repair and treatment for a 13-year-old girl diagnosed as having intestinal malrotation complicated by midgut volvulus. Under laparoscopic vision, the midgut volvulus was untwisted by grasping and pulling the intestine; Ladd's band was divided and broadened; hepatic and splenic flexure of the colon was fixed; and finally an appendectomy was performed. The patient was walking and able to resume oral intake on the first postoperative day. There was no complaint in 6 months of follow-up, and the small incisional scar satisfied the patient and her parents.
Yamashita
H
H
Department of Surgery, Tsushima Town Hospital, 15 Takadahei Tsushima Town Ehime 798-3302, Japan.
Kato
H
H
Uyama
S
S
Kanata
T
T
Nishizawa
F
F
Kotegawa
H
H
Watanabe
T
T
Kuhara
T
T
D000293:Adolescent; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D007422:Intestines / Q000002:abnormalities* / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*