Intestinal malrotation is a rare condition which is managed surgically with the Ladd’s procedure. We report a case of an adult male presenting with symptomatic intestinal malrotation which was successfully treated with a laparoscopic Ladd’s procedure. While traditionally performed with a laparotomy, the case highlights the emerging evidence in the literature supporting the laparoscopic approach and explores factors affecting patient selection for an appropriate surgical approach.
Introduction: Ischemic colitis is a commonly encountered surgical condition with a variety of causes, including atrial fibrillation, atherosclerosis, hypoperfusion, vasculitis, and rarely drug causes such as methamphetamines.
Case Report: Here we describe the case of a 47-year-old male who presented with non-specific abdominal symptoms. He was initially treated for severe ulcerative colitis (UC), before biopsies were re-reviewed and specimens showed changes pathognomic for idiopathic myointimal hyperplasia of the mesenteric veins (IMHMV). He underwent surgical resection of affected segments and recovered well.
Conclusion: This case illustrates a rare diagnosis presenting with common symptoms and the importance of considering this diagnosis in patients not responding to usual treatment.
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