1RAYADI Mahassine,2*AMOR Ayoub,3BOUGUEDDACH Fatima-Zahra,4BOUSSOUAB Imane,5ABOULKHEIR Anas,6IDRISSI Fawzi,7HAMMOUMI Zineb,8FERRAM Nadir
1,2,3,4,5,6,7,8Department of Pediatric Surgery, Abderrahim HAROUCHI University hospital of Casablanca, Casablanca, Morocco
ABSTRACT
Background: Intestinal malrotation is a congenital anomaly that may present with bowel obstruction in infancy. Chylous ascites associated with malrotation is rare.
Case presentation: A 4-month-old infant presented with bilious vomiting, abdominal pain, paroxysmal crying, abdominal distension, and cessation of stool and gas passage. Ultrasound suggested intussusception. Exploratory laparotomy revealed a Ladd’s band compressing the duodenum, malrotation with fixation defect, multiple mesenteric lymph nodes, and chylous peritoneal effusion. Ladd’s procedure and appendectomy were performed. Outcome was favorable.
Conclusion: Chylous ascites may be an unusual manifestation of intestinal malrotation and should be recognized during surgical exploration.
REFERENCES
1) Torres AM, Ziegler MM. Malrotation of the intestine. World J Surg.
2) Nehra D, Goldstein AM. Intestinal malrotation: varied clinical presentation.
3) Emanuwa OF et al. Midgut malrotation first presenting as acute bowel obstruction.
4) Takiff H et al. Chylous ascites: diagnosis and treatment.
5) Steinemann DC et al. Management of chylous ascites in adults and children.
6) Murphy FL et al. Chylous ascites associated with intestinal malrotation in infancy.
Cite this article
Mahassine, R., Ayoub, A., Fatima-Zahra, B., Imane, B., Anas, A., Fawzi, I., Zineb, H., & Nadir, F. (2026). Chylous Ascites Revealing Intestinal Malrotation with Ladd’s Bands in a 4-Month-Old Infant: A Case Report and Literature Review. INTERNATIONAL JOURNAL OF HEALTH & MEDICAL RESEARCH, 5(9), 908-909. https://doi.org/10.58806/ijhmr.2026.v5i9n07
