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Ladd's syndrome

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    Congenital obstruction of the duodenum due to peritoneal bands (Ladd's bands) resulting from a malrotated cecum. Manifested by severe vomiting taking place shortly after birth or after the first feeding. Usually bilious, continuous vomiting indicates complete obstruction. There is distension of epigastrium and meconium may be excreted. Jaundice in 30 % of cases. Intermittent vomiting at variable times after birth (days, weeks, months, or years) indicates partial obstruction.

    We thank Joseph Constantin, France, for information submitted.

    Bibliography

    • W. E. Ladd:
      Congenital obstruction of the duodenum in children.
      The New England Journal of Medicine, Boston, 1932; 206: 277-283.

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