Publication:

Reverse rotation of gut with small bowel volvulus

Malrotation of the midgut is generally regarded as paediatric pathology and is rare in adults leading to delay in the diagnosis and management. High suspicion is therefore required in patients with abdominal symptoms. We present a case of a 25-year old female who presented with an acute abdomen with preoperative computed tomography scan and operative findings confirming midgut malrotation. The duodenum, small bowel, caecum and appendix were not located in their anatomical site, with the presence of Ladd’s bands and intestinal volvulus. Emergency laparotomy was done with patient having an uneventful postoperative recovery. Review on malrotation and volvulus is being presented to highlight its rarity and the controversies in its management.