| Child 3 years old condition after Ladd procedure, appendectomy a week ago (midgut malrotation - in Russia frequently code as Ladd' s syndrome), is currently re-entered with clinic of intestinal obstruction. Parents reported an improvement in the postoperative period but the clinic is returned. At ultrasound stomach is full, the proximal third of the duodenum dilated, there is a pendulum movement of food mass from the stomach to duodenum and back, dilated intestinal segment extending from the stomach ends up in the right upper quadrant of the abdomen terminal dilated gut part with a thickened to 4 mm wall, further course / relationship with other segments of bowel loops can not be reliably traced, most of the other visualized bowel loops are empty, with blood flow at CFM, reduced motility, some areas of the abdomen shielded by gas. In the pelvis, posterior to the bladder, there is about 3 ml of free fluid. external link | |
