CLINICAL CASE OF LEDD'S SYNDROME IN ADOLESCENCE
Abstract
Ledd's syndrome is a common cause of intestinal obstruction in newborns, and in 90% of cases — in children under 1 year. At the same time, diagnostics and surgical treatment in this age period are not diffi cult. The authors analyzed 15-year experience of treating 51 children of older age groups with Ledd's syndrome and showed that its course in adolescence often has a nonspecifi c clinical picture, as well as an asymptomatic course, which can cause such conditions as hypotrophy, malabsorption syndrome, constipation, gastroesophageal and duodenogastric refl ux and gastroduodenitis. The article presents the experience of treating a child with Ledd's syndrome in adolescence, demonstrating the complexity of diagnosis and treatment of older children.
References
Детская хирургия. Национальное руководство. Под ред. Ю.Ф. Исакова, А.Ф. Дронова. М.: ГЭОТАР-Медиа; 2009.
Пури П., Гольварт М. Атлас детской оперативной хирургии. М.; 2009.
Pumberger W., Kargl S. Malposition of the intestine malposition malrotation volvulus “midgut volvulus”. European Surgery. 2012;44(4):237–247.
Fang K., Liu Q., Corden M. Malrotation With Volvulus Presenting as Recurrent Pancreatitis: 940. American Journal of Gastroenterology. 2015;110:S402–S403.
Ubirajara Rutilio M. e F. de Araujo, Imad Izat EL Tavil Adult intestinal malrotation: case report. ABCD Arq Bras Cir Dig. 2011;24(1):86–88.
Emanuwa O.F., Ayantunde A.A., Davies T.W. Midgut malrotation first presenting as acute bowel obstruction in adulthood: a case report and literature review. World Journal of Emergency Surgery. 2011;6(1):22.
Бельмер С.В., Разумовский А.Ю., Хавкин А.И., Алхасов А.Б., Бехтерева М.К., Волынец Г.В. и др. Болезни кишечника у детей. Том 1. М.: Медпрактика-М; 2018.