Idiopathic Hypertrophic Pyloric Stenosis with Complete Ladd's Band: A Rare Association

Abstract

A male infant aged 45 days presented with projectile nonbilious vomiting for 2 weeks. Ultrasound showed picture of idiopathic hypertrophic pyloric stenosis. Laparoscopic pyloromyotomy was done, but postoperative vomiting that was mainly nonbilious continued without improvement. After 4 days of persistent vomiting, laparoscopic exploration was done and complete pyloromyotomy was confirmed and malrotation with complete Ladd's band was found, then case converted to open laparotomy and Ladd's procedure was done. Postoperatively, vomiting stopped completely and baby began gradual feeding till reaching full feed. Despite that the presentation of concurrent Idiopathic Hypertrophic Pyloric Stenosis with malrotation is extremely rare; a formal laparoscopic abdominal exploration should be done as the first step before proceeding to pyloromyotomy.

"A case of non-palpable, multifocal, heterogeneous left breast carcinoma with mammographic presentation of clustered multiple microcalcifications"

“…In 2008, Bhalla et al have incidentally found a similar case 18 . In 2019, Abo Elyazeed et al described a clinical case of intestinal malrotation with a complete Ladd's band associated idiopathic HPS and the accompanied surgical treatment 19 .…”