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[Strangulated abdominal herniation by Ladd's band]
M Mongardini1, C M Moschella, F Schillaci
1Dipartimento di Scienze Chirurgiche, Prima Facoltà di Medicina e Chirurgia, UOC Chirurgia Generale L, Università degli Studi "La Sapienza" di Roma.
Il Giornale Di Chirurgia
|September 28, 2005
Summary
A 64-year-old man experienced severe abdominal pain due to intestinal infarction caused by a rare Ladd's band complication. Surgical intervention successfully removed the necrotic bowel, leading to an uneventful recovery.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Surgery
Background:
- Ladd's bands are congenital peritoneal adhesions that can cause intestinal obstruction.
- Visceral herniation through Ladd's bands is a rare but serious complication.
- This case highlights a unique presentation of intestinal infarction secondary to Ladd's bands.
Observation:
- A 64-year-old male presented with acute abdominal pain, vomiting, and signs of ileus.
- Computed tomography (CT) revealed small bowel distension with thickened walls.
- Nasogastric intubation yielded fecal material, indicating significant bowel obstruction.
Findings:
- Emergency laparotomy revealed two meters of necrotic small bowel.
- The necrosis was attributed to internal herniation of the small bowel through a Ladd's band.
- Surgical management involved extensive small bowel resection and stapled anastomosis.
Implications:
- This case underscores the importance of considering Ladd's bands in the differential diagnosis of intestinal obstruction and infarction, even in adults without prior surgery.
- Prompt surgical intervention is crucial for managing intestinal necrosis caused by visceral herniation.
- Successful surgical outcomes are achievable with timely diagnosis and treatment.