CASE REPORT   

Chirurgia 2020 December;33(6):336-40

DOI: 10.23736/S0394-9508.19.05062-9

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

Recurrent volvulus after late onset midgut volvulus in a patient with isolated elongated mesenteric pedicle

Niko KELLER ¹, Ralph F. STAERKLE ², Stig SOMME ³, Raphael N. VUILLE-DIT-BILLE ^{4, 5} ✉

¹ University of Zurich, Zurich, Switzerland; ² Clarunis Department of Visceral Surgery, St. Clara Hospital and University Hospital, University Centre for Gastrointestinal and Liver Diseases, Basel, Switzerland; ³ Department of Pediatric Surgery, Children’s Hospital, Aurora, CO, USA; ⁴ Department of Visceral and Thoracic Surgery, Cantonal Hospital of Winterthur, Winterthur, Switzerland; ⁵ Department of Pediatric Surgery, University Children’s Hospital of Basel, Basel, Switzerland

We present a case of midgut volvulus and recurrent volvulus after partial Ladd procedure in a 15-year-old boy with a history of diamond shaped duodenoduodenostomy as a newborn. The patient had a markedly elongated mesenteric pedicle without any other features of malrotation. Both, recurrent volvulus after partial Ladd procedure and isolated elongated mesenteric pedicle are extremely rare conditions. Literature review showed eleven published cases of recurrent midgut volvulus after Ladd’s procedure. An isolated elongated and narrow-based mesenteric pedicle without malrotation could only be found in two cases in our literature review. Its combination has not been described yet.

KEY WORDS: Intestinal volvulus; Child; Volvulus of midgut