TY - JOUR
AR - AJSCR-2020-1-107
TI - Reversed Bowel Rotation with Midgut Volvulus and Internal Hernia
AU - Atif, Mahmoud Mahdi
AU - Hasn, Hifni
AU - Hassan, Juma
AU - Mona, Mogahed
AU - Mona, Saleh Allaf
JO - American Journal of Surgical Case Reports
PY - 2020
DA - Sat 29, Feb 2020
SN - 2674-5046
DO - http://dx.doi.org/10.31487/j.AJSCR.2020.01.07
UR - https://www.sciencerepository.org/reversed-bowel-rotation-with-midgut_AJSCR-2020-1-107 
KW - Reversed bowel rotation, midgut volvulus, foramen of Winslow internal hernia, first reported case
AB - Congenital intestinal malrotation is a group of intestinal rotational anomalies occurring during embryogenesis. Reversed rotation is considered the rarest type of malrotation and often presents with symptoms of bowel obstruction. We present a rare case of a 27-year-old woman who presented with acute abdomen. The patient’s preoperative computed tomography (CT) scan and operative findings confirmed reverse malrotation, internal hernia of foramen of Winslow, and midgut volvulus. The transverse colon, duodenum, small bowel, cecum, and appendix were abnormally located, with the presence of Ladd bands. The patient underwent an emergency laparotomy (Ladd procedure) with an uneventful postoperative recovery and an unremarkable follow-up CT scan of the abdomen. A review of the literature for intestinal reverse malrotation is also presented to provide an understanding of the expected clinical picture and imaging findings for this rare anomaly.