Laparoscopic Ladd’s Procedure for Adult Intestinal Malrotation With Volvulus: A Case Report and Literature Review

Intestinal malrotation is a congenital anomaly of the gastrointestinal tract, most often diagnosed in childhood. It results from abnormal rotation during embryonic development. It may present with acute abdomen, volvulus, or intestinal obstruction. In adults, the condition is rare and typically presents with nonspecific symptoms, making diagnosis challenging and often delayed. We report the case of a 29-year-old woman who presented to the emergency department with abdominal pain and vomiting. Abdominal CT scan revealed intestinal malrotation complicated by volvulus. The patient underwent a successful laparoscopic Ladd's procedure. A brief review of the literature is provided to highlight this uncommon adult presentation.

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Journal
Cureus
Published
2025-10-25
DOI
https://doi.org/10.7759/cureus.95371
Primary Topic
Intestinal Malrotation and Obstruction Disorders
Type
article
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article

Laparoscopic Ladd’s Procedure for Adult Intestinal Malrotation With Volvulus: A Case Report and Literature Review

C. Elie, Auréline Cousinne
Cureus
Intestinal Malrotation and Obstruction Disorders
article

Laparoscopic Ladd’s Procedure for Adult Intestinal Malrotation With Volvulus: A Case Report and Literature Review

C. Elie, Auréline Cousinne
article en

Abstract

Intestinal malrotation is a congenital anomaly of the gastrointestinal tract, most often diagnosed in childhood. It results from abnormal rotation during embryonic development. It may present with acute abdomen, volvulus, or intestinal obstruction. In adults, the condition is rare and typically presents with nonspecific symptoms, making diagnosis challenging and often delayed. We report the case of a 29-year-old woman who presented to the emergency department with abdominal pain and vomiting. Abdominal CT scan revealed intestinal malrotation complicated by volvulus. The patient underwent a successful laparoscopic Ladd's procedure. A brief review of the literature is provided to highlight this uncommon adult presentation.

CureusVol. 17(10)
Université Libre de Bruxelles (BE), Centre Hospitalier Interrégional Edith Cavell (BE)
Openalex Percentile: Top 52%
Intestinal Malrotation and Obstruction Disorders
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Laparoscopic Ladd’s Procedure for Adult Intestinal Malrotation With Volvulus: A Case Report and Literature Review — C. Elie, Auréline Cousinne · Cureus (2025) | TGRS Research Map | TGRS