Vimlendra Kumar Chaudhary,Anubhav Vindal,Manu Vats,Sanchit Katyal,Megha Meena,Gautam Chellani,
Twist without a Turn: A Rare Case Report of Mal-Rotated Gut with Caecal and Ascending Colon Volvulus in an Adult
American Journal of Surgical Case Reports
2023
2674-5046
http://dx.doi.org/10.31487/j.AJSCR.2023.03.03
https://www.sciencerepository.org/twist-without-a-turn_AJSCR-2023-3-103 
Abstract: Midgut malrotation is a pathology seen in approximately 1:500 live births. It is an anomaly of fetal intestinal rotation that usually presents in the first month of life. It is rare for malrotation to present in adulthood. Symptomatic patients present either acutely with intestinal obstruction and ischemia with a midgut or caecal volvulus, or chronically with vague abdominal pain. In adult life, it is mostly diagnosed incidentally during a radiological investigation or during surgery for an unrelated condition as it is generally asymptomatic in adults. We present a rare case of a patient who presented to us with obstruction due to a mal-rotated gut with caecal and ascending colon volvulus with Ladd’s bands and was operated in our institution.Keywords: Volvulus of midgut, intestinal obstruction, adult, abdominal pain, ischemia