Laparoscopic Ladd's Procedure in a Child with Malrotation

ABSTRACT

Malrotation is rare in older children. We performed laparoscopic Ladd's procedure for a 14-year-old girl who was diagnosed with malrotation. She presented with a history of intermittent abdominal pain for 3 month. Diagnosis was made by UGI study and abdominal sonography. Laparoscopic exploration confirmed the diagnosis of malrotation. Laparoscopic Ladd's procedure and appendectomy were carried out. The patient was able to resume oral intake on the day of the operation, and was discharged 2 days after surgery. There was no further complaint during the 5 months of follow up, and the small incisional scar satisfied the patient and her parents. Our experience confirms that laparoscopy can be used for the diagnosis and treatment of children with malrotaton.