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A rare case report of intestinal malrotation with midgut volvulus presenting in early adulthood

Author:

Dr. Bhuban Mohan Das, Dr. Suraj Ethiraj, Dr. Sujit Kumar Mohanty, Dr. Ramapada Mohapatra and Dr. Surya Mallick

Subject Area:

Health Sciences

Abstract:

Intestinal malrotation is regarded as a pediatric disease with presentation in adulthood being rare leading to delay in diagnosis. A high index of clinical suspicion is required to consider this in patients presenting with recurrent colicky abdominal pain and vomiting. We present a case of a 22 year old lady with acute abdomen since 3 days with a history of recurrent symptoms for past 2 months. Contrast enhanced Computed Tomography revealed a typical whirlpool sign. Intraoperative finding revealed a midgut volvulus with small bowel loops situated in the right half of abdomen and cecum with ascending colon not fixed in the right lower quadrant. Surgery is the mainstay in the management with minimal long term complications.

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