Intestinal malrotation: abnormal rotation of the bowel with abnormal fixation of mesentery to the posterior abdominal wall
Megacolon
Pathophysiology
Ladd's bands, sometimes called bands of Ladd, are fibrous stalks of peritoneal tissue that attach the cecum to the retroperitoneum in the right lower quadrant (RLQ).
Obstructing Ladd's Bands are associated with malrotation of the intestine, a developmental disorder in which the cecum is found in the right upper quadrant (RUQ), instead of its normal anatomical position in the RLQ.
Clinical features
Malrotation: mostly asymptomatic
Midgut volvulus
Bilious vomiting with abdominal distension in a neonate/infant
Signs of bowel ischemia: hematochezia, hematemesis, hypotension, and tachycardia
