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August 9, 2026International Journal of Surgery Case ReportsOpen Access

Adult intestinal malrotation with Ladd's bands causing acute small-bowel obstruction in a virgin abdomen: a case report

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Authors

FCF CanalCMClaudine Di Pietro MartinelliJZJascha Zaehringer

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Overview

Case report reveals Ladd's bands causing small-bowel obstruction in an adult, suggesting an overlooked diagnosis.

Key Points

  • To highlight a rare presentation of intestinal malrotation in an adult leading to acute bowel obstruction.
  • Case report of a man in his early thirties with acute abdominal symptoms and diagnosis via contrast-enhanced CT.
  • Urgent open laparotomy performed followed by Ladd’s procedure with appendectomy and prophylactic colopexy.
  • Contrast-enhanced CT identified intestinal malrotation with a characteristic CT triad.
  • The patient experienced complete symptom resolution by postoperative day 6 and at the 12-month follow-up.

Cite This Study

Canal et al. (2026) studied this question.

synapsesocial.com/papers/6a782d862e1896536c840c91https://doi.org/10.1097/rc9.0000000000000780
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