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[Ladd's syndrome in older children]

V G Svarich1,2, I M Kagantsov2,3, V A Svarich4

  • 1Republican Children's Clinical Hospital, Syktyvkar, Russia.

Khirurgiia
|November 18, 2022
PubMed

Insights

Ladd's syndrome typically appears in infancy but can manifest in puberty. Early diagnosis in adolescents is crucial for successful surgical treatment and recovery, as delayed diagnosis can lead to severe complications.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Genetics

Context:

  • Ladd's syndrome is a congenital condition typically diagnosed within the first month of life.
  • Late-onset presentations of Ladd's syndrome in older children and adolescents are infrequently reported.
  • This study focuses on two cases of Ladd's syndrome presenting in adolescence.

Purpose:

  • To highlight the possibility of late-onset Ladd's syndrome in adolescents.
  • To emphasize the importance of timely diagnosis and surgical intervention for improved outcomes.
  • To discuss the diagnostic utility of contrast-enhanced X-ray examinations in pediatric abdominal pain.

Summary:

  • Two adolescents, aged 14, presented with Ladd's syndrome.
  • One patient received early diagnosis and surgical treatment, resulting in recovery.
  • The second patient experienced small bowel necrosis and died due to short bowel syndrome, underscoring the risks of delayed diagnosis and treatment.

Impact:

  • Demonstrates that Ladd's syndrome can manifest during puberty, necessitating a broader differential diagnosis for abdominal pain in adolescents.
  • Highlights the critical role of prompt diagnosis and surgical management in preventing life-threatening complications.
  • Suggests contrast-enhanced X-ray studies as a valuable tool for diagnosing gastrointestinal issues, including Ladd's syndrome, in children presenting with abdominal pain.

Keywords:
Ladd’s syndromecongenital malformationolder age

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