2017 AMI Online Salon

Project Detail

  • Category: A-1 Still Media – Didactic/Instructional – Non-commercial
  • Media: Adobe Photoshop CS6, Adobe Illustrator CS6
  • Audience: Surgical residents and students.
  • Final Presentation format: 1 full page in textbook Clinical Scenarios in Surgery, Justin Dimick. Enlarged to 11 x 14 format for salon presentation.
  • Illustrator: Carolina Hrejsa
  • Contributor: Dr. Bartholomew Kane, Marcelo Oliver
  • Client: Wolters Kluwer Health

Project Description

The abdominal anatomy in patients with midgut malrotation and volvulus is complex, at times causing confusion for experienced surgeons. Although the surgical resident-in-training may understand the concept of midgut malrotation, the anatomy observed in the surgical field can represent a true visual conundrum. This anatomic complexity can make executing the steps of the Ladd procedure challenging. Working with the author, I was able to highlight the key features often misrepresented in illustrative text including: a distended duodenum being compressed by the Ladd’s bands, a narrow mesenteric pedicle limiting the movement of the cecum, as well as the required opening of peritoneal tissue in order to move the cecum to the left side of the body in order to prevent future volvulus.