A child has recurrent abdominal pain & biliolus vomiting. The condition was diagnosed by barium follow through. Surgical procedures followed – Lad’s band division , appendectomy & mesenteric widening, diagnosis is
**Core Concept**
The child's symptoms of recurrent abdominal pain and bilious vomiting, diagnosed by barium follow-through, suggest a condition involving intestinal obstruction or malrotation. The surgical procedures performed, including Ladd's band division, appendectomy, and mesenteric widening, are characteristic of a specific congenital anomaly.
**Why the Correct Answer is Right**
The correct answer is related to a congenital anomaly of intestinal rotation and fixation. Ladd's bands are fibrous peritoneal bands that can cause intestinal obstruction due to malrotation. The appendectomy is performed to remove the appendix, which may be involved in the malrotation or obstruction. Mesenteric widening is done to relieve the obstruction and improve blood flow to the intestine. This condition is often diagnosed in infancy or early childhood and requires prompt surgical intervention to prevent complications.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it does not describe the typical surgical procedures performed for this condition.
**Option B:** This option is incorrect because it does not specify the congenital anomaly that involves intestinal rotation and fixation.
**Option C:** This option is incorrect because it does not mention the involvement of Ladd's bands, which are characteristic of this condition.
**Clinical Pearl / High-Yield Fact**
The key to diagnosing this condition is the presence of bilious vomiting in a child with recurrent abdominal pain, which suggests intestinal obstruction. Ladd's bands can cause obstruction due to malrotation, and prompt surgical intervention is necessary to prevent complications.
**Correct Answer:** C. Intestinal malrotation with Ladd's bands