Epidemiology

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Etiology

• Intestinal bands/adhesions
• Intestinal malrotation: abnormal rotation of the bowel with abnormal fixation of mesentery to the posterior abdominal wall
• Megacolon

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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.

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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

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Diagnostics

• Midgut volvulus: corkscrew appearance

Differential diagnostics

Differential diagnostics

• Malrotation
• Hirschsprung disease

Link to original

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Treatment

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