ABSTRACT
Midgut malrotation and internal herniation due to Ladd's band in adults is sparsely described. Due to the low incidence and the uncharacteristic symptoms, the diagnosis and treatment is often delayed causing increased morbidity. In this case report, a 68-year-old man was hospitalised with severe abdominal pain. A computed tomography showed abnormal placement of the small bowel loops and torsion of the small bowel mesentery. He underwent a laparoscopic procedure which revealed internal herniation due to a Ladd's band. He recovered uneventfully, and an elective Ladd's procedure was scheduled.
Subject(s)
Digestive System Abnormalities , Ileus , Intestinal Obstruction , Intestinal Volvulus , Laparoscopy , Adult , Aged , Digestive System Abnormalities/surgery , Humans , Ileus/diagnostic imaging , Ileus/etiology , Ileus/surgery , Intestinal Obstruction/surgery , Intestinal Volvulus/diagnostic imaging , Intestinal Volvulus/surgery , MaleABSTRACT
Epiphrenic oesophageal diverticula are rare and often asymptomatic. In this case report a 58-year-old woman was diagnosed with an epiphrenic oesophageal diverticulum, which developed an oesophagobronchial fistula leading to a pulmonary abscess in the right lower lobe, septicaemia and acute respiratory failure. The patient underwent right lower lobectomy and the diverticulum was stapled off the oesophagus. The post-operative course was uneventful. This complication is only rarely described previously.