Ladd bands
Ladd bands or Ladd´s bands are the most commonly encountered form of peritoneal bands in disarrangement of intestines, e.g. intestinal malrotation.
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Pathology
Classically they extend from the abnormally positioned caecum to peritoneum and liver, crossing the duodenum in their course. Extension, however, can include further parts of the intestine.
Their relevance lies in predisposition to
- intestinal obstruction by internal hernias or volvulus
- intestinal infection harbored in an extra compartment, e.g. fever of unknown origin
Radiographic features
They are usually not visualized directly unless very extensive. Indirect visualization by small bowel pass through studies is possible. The intestinal malformation may be visualized by CT, pass through studies, US and MRI.
History and etymology
They were first described by WE Ladd in 1936. Surgery for removing these peritoneal bands is known as Ladd´s procedure 4.
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