title: Laparoscopic repair of intestinal malrotation complicated by midgut volvulus.
abstract: 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.
authors.affiliation: Department of Surgery, Tsushima Town Hospital, 15 Takadahei Tsushima Town Ehime 798-3302, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Yamashita
authors.forename: H
authors.initials: H
authors.lastname: Kato
authors.forename: S
authors.initials: S
authors.lastname: Uyama
authors.forename: T
authors.initials: T
authors.lastname: Kanata
authors.forename: F
authors.initials: F
authors.lastname: Nishizawa
authors.forename: H
authors.initials: H
authors.lastname: Kotegawa
authors.forename: T
authors.initials: T
authors.lastname: Watanabe
authors.forename: T
authors.initials: T
authors.lastname: Kuhara
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D007422:Intestines / Q000002:abnormalities* / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*