Ladd bands are the most commonly encountered form of peritoneal bands in disarrangement of intestines, e.g. intestinal malrotation.
Their relevance lies in predisposition to
- intestinal obstruction by internal hernias or volvulus
- intestinal infection within an extra compartment, e.g. fever of unknown origin
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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- 2. Kamal IM. Defusing the intra-abdominal ticking bomb: intestinal malrotation in children. CMAJ. 2000;162 (9): 1315-7. Free text at pubmed - Pubmed citation
- 3. Appaji AC, Kulkarni R, Kadaba JS. Nonrotation of intestine: a case report. J Clin Diagn Res. 2013;7 (11): 2575-6. doi:10.7860/JCDR/2013/6177.3616 - Free text at pubmed - Pubmed citation
- 4. Ladd W. New England Journal of Medicine. 1932;206 (6): . doi:10.1056/NEJM193202112060604