title: Intestinal volvulus after conservative management of incidental midgut malrotation discovered at laparoscopic appendectomy in a teenager.
abstract: 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 is well at one-year follow up. We suggest prophylactic Ladd's procedure remains the treatment of choice for MMR even when discovered incidentally.
authors.affiliation: Department of General Surgery, Kimberley Hospital Complex, Kimberley.
authors.forename: S
authors.initials: S
authors.lastname: Naidoo
authors.affiliation: Department of General Surgery, Kimberley Hospital Complex, Kimberley.
authors.forename: F
authors.initials: F
authors.lastname: Kimmie
authors.affiliation: Department of General Surgery, Kimberley Hospital Complex, Kimberley.
authors.forename: A
authors.initials: A
authors.lastname: Bhyat