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April 15, 2026Journal of Minimal Access SurgeryOpen Access

Laparoscopic Ladd’s procedure for triple obstruction in an adult: Ladd’s band duodenal obstruction, chronic midgut volvulus through an internal hernia and a novel intestinal malrotation variant with concomitant post-superior mesenteric artery reverse rotation

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Authors

AVAbhishet VaramaNSNimmita SrisanPVPaisarn Vejchapipat

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Overview

Case report demonstrates successful laparoscopic management of complex duodenal obstruction in an adult, suggesting the need for vigilance regarding congenital anomalies.

Key Points

  • This report aims to present a rare case of adult intestinal malrotation and its associated complications.
  • Laparoscopic exploration to assess intestinal anatomy
  • Imaging for diagnosis of duodenal obstruction and malrotation
  • Ladd's procedure to correct duodenal obstruction and reduce hernia
  • Successful identification of multiple obstructive mechanisms in one patient
  • Feasibility of laparoscopic management for complex intestinal issues demonstrated
  • Highlighting the importance of considering congenital anomalies in adult GI obstruction cases

Cite This Study

Varama et al. (2026) studied this question.

synapsesocial.com/papers/69df2b49e4eeef8a2a6b03cehttps://doi.org/10.4103/jmas.jmas_461_25
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Laparoscopic Ladd surgery in adult with chronic intestinal obstruction due to midgut malrotation2026
  2. 2Recurrent duodenal obstruction caused by Ladd’s bands in an adult: a case report and review of the literature2026
  3. 3A Rare Case of Adult Symptomatic Intestinal Malrotation Treated with Laparoscopic Ladd Procedure: Case Report2025
  4. 4Adult intestinal malrotation with Ladd's bands causing acute small-bowel obstruction in a virgin abdomen: a case report2026
  5. 5Surprising intraoperative discovery of a Ladd’s band in a patient with midgut volvulus associated with intestinal malrotation: a case report2026