ArticleJournal of surgical case reports2026
Chronic gastrointestinal symptoms in adulthood revealing congenital intestinal malrotation with midgut volvulus: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Intestinal malrotation is a congenital anomaly of midgut rotation and fixation that typically manifests in infancy, with most cases diagnosed within the first year of life. Although rare, accounting for ~0.2%-0.5% of all malrotation cases, intestinal malrotation can present in adults, with nonspecific symptoms that may delay diagnosis. We report the case of a 48-year-old male with a four-year history of recurrent colicky abdominal pain and non-bilious vomiting that progressively worsened over the preceding three months, with vomiting increasing to nearly ten episodes daily. A contrast-enhanced abdominal computed tomography demonstrated marked dilatation of the proximal duodenum with a transition point at the mid-duodenum suggestive of a partial obstruction. Upper gastrointestinal fluoroscopy confirmed midgut malrotation with an incomplete volvulus. The patient subsequently underwent a Ladd procedure. Adult midgut malrotation should be considered in patients with chronic, unexplained abdominal pain and vomiting. Early diagnosis is essential to prevent life-threatening complications such as a volvulus and bowel ischemia.
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