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1.
Pan Afr Med J ; 47: 34, 2024.
Article in English | MEDLINE | ID: mdl-38586070

ABSTRACT

Malrotation of the gut is a congenital anomaly of foetal intestinal rotation and it's principally discovered in early childhood as acute intestinal obstruction. This condition is veritably rare and constantly silent in adults. Intestinal malrotation in adults is frequently asymptomatic and is diagnosed as a casual finding during a radiological examination performed for other reasons. Infrequently, it can be diagnosed in adults, associated with an acute abdomen. Adult patients rarely present with acute midgut volvulus or internal hernias caused by Ladd's bands. We present a case of an admitted 18-year-old female with a small bowel obstruction due to an intestinal volvulus complicating intestinal malrotation in the presence of Ladd's band. Laparotomic Ladd's procedure was performed successfully with division of Ladd's band, adhesiolysis, appendicectomy, and reorientation of the small bowel on the right and the cecum and colon on the left of the abdominal cavity; the postoperative evolution was favorable. Although it is a rare pathology, it should be kept in mind in cases of patients presenting small bowel obstruction.


Subject(s)
Abdomen, Acute , Intestinal Obstruction , Intestinal Volvulus , Laparoscopy , Adult , Female , Humans , Child, Preschool , Pregnancy , Adolescent , Laparoscopy/methods , Intestinal Obstruction/etiology , Intestinal Obstruction/surgery , Intestine, Small , Intestinal Volvulus/diagnosis , Intestinal Volvulus/surgery , Intestinal Volvulus/complications , Abdomen, Acute/surgery
2.
J Minim Access Surg ; 20(2): 229-232, 2024 Apr 01.
Article in English | MEDLINE | ID: mdl-37282432

ABSTRACT

ABSTRACT: Benign cystic mesothelioma is a very rare and uncommon lesion, first reported by Plaut in 1928. It affects young women of reproductive age. It is usually asymptomatic or has non-specific symptoms. Diagnosis remains difficult despite the evolution of imaging, and the histopathological study is the key examination to make the diagnosis. Surgery remains the only curative treatment, regardless of significant rate of recurrence, and until today, no consensus on the therapeutic strategy is established.

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