CLINICAL CASE OF LEDD'S SYNDROME IN ADOLESCENCE

  • I.V. Subbotin Children’s City Clinical Hospital named after N.F. Filatov of the Moscow Department of Health. 15 Sadovaya Kudrinskaya str., Moscow 123001 Russian Federation
  • V.V. Kholostova Children’s City Clinical Hospital named after N.F. Filatov of the Moscow Department of Health. 15 Sadovaya Kudrinskaya str., Moscow 123001 Russian Federation
  • A.N. Smirnov Children’s City Clinical Hospital named after N.F. Filatov of the Moscow Department of Health. 15 Sadovaya Kudrinskaya str., Moscow 123001 Russian Federation
  • N.A. Al-Mashat Pirogov Russian National Research Medical University. Ostrovityanova str. , 1, Moscow, Russian Federation, 117997
  • P.M. Yarustovskiy Pirogov Russian National Research Medical University. Ostrovityanova str. , 1, Moscow, Russian Federation, 117997
  • A.A. Dehkonboev Republican Specialized Scientifi c and Practical Medical Center of Pediatrics. 3 Talant pr., Tashkent 100179 Republic of Uzbekistan
  • A.M. Akhmadjonov Republican Specialized Scientifi c and Practical Medical Center of Pediatrics. 3 Talant pr., Tashkent 100179 Republic of Uzbekistan
  • V.V. Sytkov Research Clinical Institute of Childhood. 62 Bolshaya Serpukhovskaya str., Moscow 115093 Russian Federation
  • A.I. Khavkin Research Clinical Institute of Childhood. 62 Bolshaya Serpukhovskaya str., Moscow 115093 Russian Federation https://orcid.org/0000-0001-7308-7280
Keywords: Ledd’s syndrome, Ledd’s syndrome in adolescents and adults, diagnostics, surgical treatment

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.

Published
2024-11-07
How to Cite
Subbotin, I., Kholostova, V., Smirnov, A., Al-Mashat, N., Yarustovskiy, P., Dehkonboev, A., Akhmadjonov, A., Sytkov, V., & Khavkin, A. (2024). CLINICAL CASE OF LEDD’S SYNDROME IN ADOLESCENCE. Children’s Medicine of the North-West, 12(3), 158-162. https://doi.org/10.56871/CmN-W.2024.52.77.019
Section
Статьи