<prompt> A child has recurrent abdominal pain biliolus vomiting. The condition was diagnosed by barium follow through. Surgical procedures followed - Lads band division , appendectomy mesenteric widening, diagnosis isDuodenal webAcute appendicitisMalrotationCaecal volvulus  <response>: C i.e. MalrotationSudden onset of bilious emesis vomiting in newborn dt acute obstruction or recurrent abdominal pain with bilious vomiting in childQ dt chronic obstruction is the classical presentation of malrotation. The condition, can be diagnosed by barium follow through or USG by demonstrating S shaped duodenum abnormal position of ligament of Treitz. It is managed by Ladds procedure i.e. division or lysis of Ladds band, broadening of mesentery base to reduce the incidence of volvulus and incidental appendectomyQ 