J Jpn Clin Surg (in

Japanese) 14 M vomiting Ladd procedure 2009 Mano, et al. J Jpn Soc Pediatr Surg (in Japanese) 18 M abdominal pain laparoscopic Ladd procedure 2010 Watanabe, et al. J Jpn Soc Gastrointestinal Dis (in Japanese) 19 F abdominal pain release of ileus 2010 Takazawa, et al. Jpn J Pediatr Surg Nutr (in Japanese) 14 M vomiting, distention resection of necrotic intestine 2011 Kokado, et al. J Jpn Soc Pediatr Surg (in Japanese) 13 F abdominal pain, vomiting fixation of colon 2011 Lam, et al. J Pediatr Surg 14 M abdominal pain, vomiting resection of necrotic intestine 2012 Nath, et al. Ann R Coll Engl Captisol 16 M abdominal pain laparoscopic Ladd procedure 2012 Jain, et al. Case Rep Radiol 15 M abdominal pain Ladd procedure

2012 Wanjari, et al. N Am J Med Sci 17 M abdominal pain, vomiting laparoscopic Ladd procedure 2012 Macedo, et al. Einstein 13 F abdominal pain laparoscopic Ladd procedure 2012 Tran, et al. J Pediatr Surg 18 M abdominal pain Ladd procedure 2012 Katsura, et al. J Jpn Clin Surg (in Japanese) 19 F abdominal pain resection of necrotic intestine 2013 Nakajima, et al. present case 17 M abdominal Selleck TPCA-1 pain, vomiting laparoscopic Ladd procedure An important point is that since many patients with intestinal malrotation are asymptomatic, everyone in the medical community should be made aware of the problem. Also, patients with acute volvulus should be treated promptly. Some asymptomatic adults may not need surgery. Of note, there is always the possibility that laparoscopic surgery will not entirely rule out the chance of acute volvulus; it could introduce problems such as band adhesion and future adhesive small bowel obstruction.

In conclusion, a number of teenage patients with intestinal malrotation present with symptoms. Increased awareness of this condition and an understanding of its varied presentation at different ages may reduce the time needed to diagnose the problem and improve patient outcome. Laparoscopy is an excellent technique for the evaluation and definitive management of patients without midgut volvulus with intestinal rotation abnormalities. Consent Written informed consent was obtained from the patient’s guardian/parent/next in keen for publication of this report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. References Interleukin-3 receptor 1. Maxson RT, Franklin PA, Wagner CW: Malrotation in the older child: surgical management, RO4929097 purchase treatment, and outcome. Am Surg 1995, 61:135–138.PubMed 2. Yanez R, Spitz L: Intestinal malrotation presenting outside the neonatal period. Arch Dis Child 1986, 61:682–685.PubMedCrossRef 3. Hsu SD, Yu JC, Chou SJ, Hsieh HF, Chang TH, Liu YC: Midgut volvulus in an adult with congenital malrotation. Am J Surg 2008, 195:705–707.PubMedCrossRef 4. Wanjari AK, Deshmukh AJ, Tayde PS, Lonkar Y: Midgut malrotation with chronic abdominal pain. N Am J Med Sci 2012, 4:196–198.PubMedCrossRef 5.