case_images: PMC10810726_01
case_images: Whirlpool sign indicated by a circle representing a twisting of the mesentery around the superior mesenteric artery.
case_images: rjae001f1.jpg
case_images: PMC10810726_01_rjae001f1.jpg
case_images: f1
case_images: Computed tomography (CT) showed dilated loops of proximal small bowel with twisting of the superior mesenteric vessels consistent with midgut volvulus (Fig. 1).
case_images: Ladd's bands are noted in the right upper quadrant during exploratory laparotomy, indicated by an arrow. In this case, these bands adhere the cecum to the abdominal wall.
case_images: rjae001f2.jpg
case_images: PMC10810726_01_rjae001f2.jpg
case_images: f2
case_images: Intraoperatively, the patient was found to have Ladd's bands and the bowel was found to be twisted around a narrow mesenteric base with the cecum in the right upper quadrant (Fig. 2).
case_images: Dilated loops of small bowel proximal to obstruction and collapsed bowel distal to the obstruction.
case_images: rjae001f3.jpg
case_images: PMC10810726_01_rjae001f3.jpg
case_images: f3
case_images: The small intestines distal to the volvulus and Ladd's bands was decompressed (Fig. 3).