Case Report

Intestinal malrotation presenting with midgut volvulus in an adult

Marta Alberich Prats*, Ricard Frago Montanuy and Sebastiano Biondo Aglio

Published: 16 October, 2019 | Volume 3 - Issue 1 | Pages: 038-039

A 36-year-old man without previous medical history presented to the emergency department with abdominal pain and vomiting of acute onset. His vital signs were stable and he had no fever. Abdominal exploration revealed distention with pain at palpation. Laboratory tests were normal. Abdominal X-Ray showed gastric and small intestine distention. A nasogastric tube was placed and fluid therapy started. Computed tomography showed an intestinal malrotation, without the duodenum crossing the midline and with the colic frame arranged in the left hemiabdomen (Figure 1), complicated with a midgut volvulus as demonstrated by the whirlpool sign (Figure 2, arrow).

Read Full Article HTML DOI: 10.29328/journal.acr.1001020 Cite this Article Read Full Article PDF


  1. Kafadar MT, Cengiz AY, Çavis T, Bilgiç İ, Nadir I. Incidental intestinal malrotation in an adult: Midgut volvulus. Turk J Surg. 2018; 34: 337-339. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/30664437
  2. Ladd W. Surgical Diseases of the Alimentary Tract in Infants. New England Journal of Medicine. 1936; 215: 705-708.
  3. Tan V, Kotobi H, Parc Y. Ladd procedure for malrotation with total intestinal volvulus. J Visc Surg. 2017; 154: 197-201. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/28522281


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